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NPI Code Detail

MEDICARE: LAURA NUNEZ HEVIA

MEDICARE: LAURA NUNEZ HEVIA
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 Technician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528509601
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA NUNEZ HEVIA
Provider Business Mailing Address
First Line : 14411 COMMERCE WAY STE 310
Second Line :
City : MIAMI LAKES
State : FL
Zip : 33016-1532
Country : US
Telephone Number : 305-827-2822
Fax Number : 305-827-2819
Provider Business Practice Location Address
First Line : 12051 W OKEECHOBEE RD
Second Line :
City : HIALEAH GARDENS
State : FL
Zip : 33018-2933
Country : US
Telephone Number : 305-828-5276
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2017
Last Update Date : 07/13/2019

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Directions to “ LAURA NUNEZ HEVIA ” Practice Location

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