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NPI Code Detail

MEDICARE: CARLOS CRUZ AVELLANEDA

MEDICARE: CARLOS CRUZ AVELLANEDA
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-25-455921FL

General Provider Information

NPI Number : 1427938448
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLOS CRUZ AVELLANEDA
Provider Business Mailing Address
First Line : 429 LIVE OAK LN
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33436-7118
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4793 N CONGRESS AVE STE 203
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33426-7937
Country : US
Telephone Number : 561-429-3863
Fax Number : 561-448-6063
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2025
Last Update Date : 04/15/2026

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Directions to “ CARLOS CRUZ AVELLANEDA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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