Healthcare Provider Details

I. General information

NPI: 1952102337
Provider Name (Legal Business Name): ALAIN CUADOT LEZCANO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2025
Last Update Date: 03/21/2025
Certification Date: 03/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19547 NW 55TH CIRCLE PL
MIAMI GARDENS FL
33055-6133
US

IV. Provider business mailing address

19547 NW 55TH CIRCLE PL
MIAMI GARDENS FL
33055-6133
US

V. Phone/Fax

Practice location:
  • Phone: 305-457-1033
  • Fax:
Mailing address:
  • Phone: 305-457-1033
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-25-407699
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: