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NPI Code Detail

MEDICARE: MARIA A VIDAURRE DIAZ RBT

MEDICARE:   MARIA A VIDAURRE DIAZ  RBT
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 TechnicianRBT-23-296085FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023890837
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA A VIDAURRE DIAZ RBT
Provider Business Mailing Address
First Line : 1301 MADISON CHASE
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33411-6212
Country : US
Telephone Number : 561-293-0164
Fax Number :
Provider Business Practice Location Address
First Line : 1301 MADISON CHASE
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33411-6212
Country : US
Telephone Number : 561-293-0164
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2023
Last Update Date : 05/01/2024

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Directions to “ MARIA A VIDAURRE DIAZ RBT” Practice Location

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