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NPI Code Detail

MEDICARE: ARIADNA C PEREZ CALDERON

MEDICARE: ARIADNA C PEREZ CALDERON
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 TechnicianRBT-23-264676FL

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 : 1699463992
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARIADNA C PEREZ CALDERON
Provider Business Mailing Address
First Line : 3502 W 2ND AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33012-5216
Country : US
Telephone Number : 786-491-8212
Fax Number :
Provider Business Practice Location Address
First Line : 3502 W 2ND AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33012-5216
Country : US
Telephone Number : 786-491-8212
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2023
Last Update Date : 04/26/2023

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Directions to “ ARIADNA C PEREZ CALDERON ” Practice Location

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