MEDICARE: MUSICUADRO LLC

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	225A00000X	Music Therapist
2	171W00000X	Contractor

General Provider Information

NPI Number	:	1902684434
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MUSICUADRO LLC

Provider Business Mailing Address
First Line	:	4921 NW 179TH TER
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33055-3247
Country	:	US
Telephone Number	:	786-663-1616
Fax Number	:

Provider Business Practice Location Address
First Line	:	4921 NW 179TH TER
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33055-3247
Country	:	US
Telephone Number	:	786-663-1616
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LUDMILA MACIAS MARTINEZ
Credential	:
Telephone Number	:	786-663-1616

Provider Enumeration Date	:	09/18/2023
Last Update Date	:	03/07/2026

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Directions to “MUSICUADRO LLC ” Practice Location

Language	Start Address	Practice Location

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