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NPI Code Detail

MEDICARE: AGNES HERNANDEZ SANCHEZ

MEDICARE:   AGNES  HERNANDEZ SANCHEZ
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 : 1023635349
Entity Type Code : Individual
Provider Name (Legal Business Name) : AGNES HERNANDEZ SANCHEZ
Provider Business Mailing Address
First Line : 5321 NW 3RD ST
Second Line :
City : MIAMI
State : FL
Zip : 33126-4905
Country : US
Telephone Number : 786-720-3988
Fax Number :
Provider Business Practice Location Address
First Line : 5321 NW 3RD ST
Second Line :
City : MIAMI
State : FL
Zip : 33126-4905
Country : US
Telephone Number : 786-720-3988
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2020
Last Update Date : 03/15/2024

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Directions to “ AGNES HERNANDEZ SANCHEZ ” Practice Location

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