MEDICARE: ANGEL MEDRANO

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	103K00000X	Behavior Analyst		NJ

General Provider Information

NPI Number	:	1801410352
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGEL MEDRANO

Provider Business Mailing Address
First Line	:	315 PINE ST
Second Line	:
City	:	ELIZABETH
State	:	NJ
Zip	:	07206-1916
Country	:	US
Telephone Number	:	609-664-7121
Fax Number	:

Provider Business Practice Location Address
First Line	:	315 PINE ST
Second Line	:
City	:	ELIZABETH
State	:	NJ
Zip	:	07206-1916
Country	:	US
Telephone Number	:	609-664-7121
Fax Number	:

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

Provider Enumeration Date	:	06/01/2020
Last Update Date	:	06/01/2020

Similar Medicare Providers

1831152180 — DR. SUSAN LICHTMAN MAATAOUI PH.D.
Practice Location Address:

1000 SHORE RD , BLDG 326
CAPE ELIZABETH, ME
04107-1916

Practice Phone: 207-767-1130
Practice Fax:

1124110267 — CAROLYN SUGGS LCSW
Practice Location Address:

1000 SHORE RD , BLDG # 326
CAPE ELIZABETH, ME
04107-1916

Practice Phone: 207-409-6441
Practice Fax:

1912113150 — COLLEEN MONROE LMT, DC
Practice Location Address:

1000 SHORE RD , BLDG 326
CAPE ELIZABETH, ME
04107-1916

Practice Phone: 207-650-2493
Practice Fax:

1932454907 — MARIANNE DECAIN TARRAZA NP, LLC
Practice Location Address:

1000 SHORE RD , BUILDING #326
CAPE ELIZABETH, ME
04107-1916

Practice Phone: 207-312-1063
Practice Fax: 207-375-5165

1144576505 — BETTY L FORTUIN LCSW
Practice Location Address:

1000 SHORE RD , BLDG #326
CAPE ELIZABETH, ME
04107-1916

Practice Phone: 207-939-5270
Practice Fax:

1174867105 — MAINELY CHIROPRACTIC LLC
Practice Location Address:

1000 SHORE RD , BLDG. 326
CAPE ELIZABETH, ME
04107-1916

Practice Phone: 207-650-2493
Practice Fax:

Directions to “ ANGEL MEDRANO ” 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.