MEDICARE: MR. CARLOS MANUEL ARMAS JR.

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-22-209764	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780397588
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CARLOS MANUEL ARMAS JR.

Provider Business Mailing Address
First Line	:	4430 SW 118TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-4221
Country	:	US
Telephone Number	:	305-606-6370
Fax Number	:

Provider Business Practice Location Address
First Line	:	2320 NE 171ST ST
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33160-2919
Country	:	US
Telephone Number	:	305-940-0475
Fax Number	:

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

Provider Enumeration Date	:	12/27/2022
Last Update Date	:	12/27/2022

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