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NPI Code Detail

MEDICARE: YURA PADRON GOMEZ

MEDICARE:   YURA  PADRON GOMEZ
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
1106S00000XBehavior TechnicianRBT-23-317890FL

General Provider Information

NPI Number : 1366212250
Entity Type Code : Individual
Provider Name (Legal Business Name) : YURA PADRON GOMEZ
Provider Business Mailing Address
First Line : 2178 W 60TH ST APT 18114
Second Line :
City : HIALEAH
State : FL
Zip : 33016-2645
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2178 W 60TH ST APT 18114
Second Line :
City : HIALEAH
State : FL
Zip : 33016-2645
Country : US
Telephone Number : 786-622-7144
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2024
Last Update Date : 02/23/2026

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Directions to “ YURA PADRON GOMEZ ” Practice Location

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