MEDICARE: MR. HECTOR LORENZO CABRERA BATISTA

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
1	343900000X	Non-emergency Medical Transport (VAN)	C166332974180	FL

General Provider Information

NPI Number	:	1689211948
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. HECTOR LORENZO CABRERA BATISTA

Provider Business Mailing Address
First Line	:	6602 W FLAGLER ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33144-2922
Country	:	US
Telephone Number	:	305-582-3201
Fax Number	:

Provider Business Practice Location Address
First Line	:	6602 W FLAGLER ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33144-2922
Country	:	US
Telephone Number	:	305-582-3201
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/05/2019
Last Update Date	:	12/05/2019

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