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NPI Code Detail

MEDICARE: NIURKA LAVANDERO

MEDICARE: NIURKA LAVANDERO
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-19-91361FL

General Provider Information

NPI Number : 1386291730
Entity Type Code : Individual
Provider Name (Legal Business Name) : NIURKA LAVANDERO
Provider Business Mailing Address
First Line : 1086 NW 128TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33182-1835
Country : US
Telephone Number : 786-728-7967
Fax Number :
Provider Business Practice Location Address
First Line : 12485 SW 137TH AVE STE 106
Second Line :
City : MIAMI
State : FL
Zip : 33186-4215
Country : US
Telephone Number : 786-250-4423
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2019
Last Update Date : 03/31/2022

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Directions to “ NIURKA LAVANDERO ” Practice Location

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