Healthcare Provider Details

I. General information

NPI: 1194552182
Provider Name (Legal Business Name): DORALYS CUZCO UGAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2024
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9596 BENNINGTON CHASE DR
ORLANDO FL
32829-8211
US

IV. Provider business mailing address

9596 BENNINGTON CHASE DR
ORLANDO FL
32829-8211
US

V. Phone/Fax

Practice location:
  • Phone: 305-399-3690
  • Fax:
Mailing address:
  • Phone: 305-399-3690
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-24-366291
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: