MEDICARE: PEDRO MANUEL PEREZ SOLORZANO RBT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	BT-25-421221	FL

General Provider Information

NPI Number	:	1235931239
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PEDRO MANUEL PEREZ SOLORZANO RBT

Provider Business Mailing Address
First Line	:	4200 OAKS TER APT 106
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33069-5514
Country	:	US
Telephone Number	:	954-553-9497
Fax Number	:

Provider Business Practice Location Address
First Line	:	4200 OAKS TER APT 106
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33069-5514
Country	:	US
Telephone Number	:	954-553-9497
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2025
Last Update Date	:	03/27/2025

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