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NPI Code Detail

MEDICARE: RAFAEL ZORRILLA RBT

MEDICARE: RAFAEL ZORRILLA RBT
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

General Provider Information

NPI Number : 1629512371
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAFAEL ZORRILLA RBT
Provider Business Mailing Address
First Line : 11215 SW 130TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33186-4754
Country : US
Telephone Number : 786-200-6652
Fax Number :
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 : 12/15/2016
Last Update Date : 02/05/2018

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