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NPI Code Detail

MEDICARE: CAROLINA PEREDO

MEDICARE: CAROLINA PEREDO
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
1103K00000XBehavior Analyst
2101YM0800XMental Health CounselorMH26670

General Provider Information

NPI Number : 1588034607
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLINA PEREDO
Provider Business Mailing Address
First Line : 2300 NW 89TH PL FL 3
Second Line :
City : DORAL
State : FL
Zip : 33172-2431
Country : US
Telephone Number : 305-398-6100
Fax Number :
Provider Business Practice Location Address
First Line : 10720 CARIBBEAN BLVD STE 420
Second Line :
City : CUTLER BAY
State : FL
Zip : 33189-1244
Country : US
Telephone Number : 786-293-9544
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2015
Last Update Date : 11/10/2025

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Directions to “ CAROLINA PEREDO ” Practice Location

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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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