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NPI Code Detail

MEDICARE: ALINA RODRIGUEZ HERNANDEZ

MEDICARE:   ALINA  RODRIGUEZ HERNANDEZ
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-24-329104FL

General Provider Information

NPI Number : 1417713272
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALINA RODRIGUEZ HERNANDEZ
Provider Business Mailing Address
First Line : 2616 KENTUCKY ST
Second Line :
City : WEST PALM BCH
State : FL
Zip : 33406-4238
Country : US
Telephone Number : 561-410-6223
Fax Number :
Provider Business Practice Location Address
First Line : 2616 KENTUCKY ST
Second Line :
City : WEST PALM BCH
State : FL
Zip : 33406-4238
Country : US
Telephone Number : 561-410-6223
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2024
Last Update Date : 02/27/2024

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Directions to “ ALINA RODRIGUEZ HERNANDEZ ” Practice Location

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