Healthcare Provider Details

I. General information

NPI: 1962317990
Provider Name (Legal Business Name): MARIA VERONICA BRUCE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7000 SW 62ND AVE STE 407
SOUTH MIAMI FL
33143-4721
US

IV. Provider business mailing address

3880 BIRD RD
MIAMI FL
33146-1533
US

V. Phone/Fax

Practice location:
  • Phone: 305-903-1273
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: