MEDICARE: DESTINY HEAVEN GALAN

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	106S00000X	Behavior Technician	RBT-23-319549

General Provider Information

NPI Number	:	1740050525
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DESTINY HEAVEN GALAN

Provider Business Mailing Address
First Line	:	1501 NW 13TH CT APT 505
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-1769
Country	:	US
Telephone Number	:	786-620-4368
Fax Number	:

Provider Business Practice Location Address
First Line	:	1501 NW 13TH CT APT 505
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-1769
Country	:	US
Telephone Number	:	786-620-4368
Fax Number	:

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

Provider Enumeration Date	:	01/03/2024
Last Update Date	:	01/03/2024

Similar Medicare Providers

1588558423 — ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC
Practice Location Address:

701 NW 27TH AVE
MIAMI, FL
33125-3012

Practice Phone: 786-744-1900
Practice Fax: 305-760-4141

1184412363 — ANNEMARIE C BALFANZ LCSW
Practice Location Address:

1769 NW 15TH ST
MIAMI, FL
33125-2301

Practice Phone: 504-940-7060
Practice Fax:

1942834130 — DIANA RAMOS
Practice Location Address:

4955 NW 199TH ST LOT 269
MIAMI GARDENS, FL
33055-1769

Practice Phone: 786-334-2710
Practice Fax:

1871007518 — REBECA GALLARDO
Practice Location Address:

4955 NW 199TH ST LOT 251
MIAMI GARDENS, FL
33055-1769

Practice Phone: 305-305-6644
Practice Fax:

1962010702 — MISS YADIRA DE LA CARIDAD CRUZ MARTIN I
Practice Location Address:

13034 SW 88TH TER N # 205A
MIAMI, FL
33186-1769

Practice Phone: 786-769-9679
Practice Fax:

1346015971 — DANIELA BALMASEDA DOMINGUEZ
Practice Location Address:

1769 SW 138TH AVE
MIAMI, FL
33175-7545

Practice Phone: 786-237-4829
Practice Fax:

Directions to “ DESTINY HEAVEN GALAN ” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.