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NPI Code Detail

MEDICARE: VILMA REINA CONSUEGRA

MEDICARE:   VILMA REINA CONSUEGRA
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 TechnicianRBT18-66431FL

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 : 1598364341
Entity Type Code : Individual
Provider Name (Legal Business Name) : VILMA REINA CONSUEGRA
Provider Business Mailing Address
First Line : 11115 W OKEECHOBEE RD UNIT 122
Second Line :
City : HIALEAH
State : FL
Zip : 33018-4272
Country : US
Telephone Number : 786-718-3057
Fax Number :
Provider Business Practice Location Address
First Line : 11115 W OKEECHOBEE RD UNIT 122
Second Line :
City : HIALEAH
State : FL
Zip : 33018-4272
Country : US
Telephone Number : 786-718-3057
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2020
Last Update Date : 03/09/2026

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Directions to “ VILMA REINA CONSUEGRA ” 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.