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NPI Code Detail

MEDICARE: ROBERANGEL PALACIO

MEDICARE:   ROBERANGEL  PALACIO
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 Technician

General Provider Information

NPI Number : 1982572962
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERANGEL PALACIO
Provider Business Mailing Address
First Line : 166 E 13TH ST
Second Line :
City : HIALEAH
State : FL
Zip : 33010-3536
Country : US
Telephone Number : 786-630-0038
Fax Number :
Provider Business Practice Location Address
First Line : 166 E 13TH ST
Second Line :
City : HIALEAH
State : FL
Zip : 33010-3536
Country : US
Telephone Number : 786-630-0038
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2025
Last Update Date : 10/29/2025

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Directions to “ ROBERANGEL PALACIO ” Practice Location

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