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NPI Code Detail

MEDICARE: ROSA ACOSTA IGLESIAS

MEDICARE: ROSA ACOSTA IGLESIAS
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-18-65928FL
2106E00000XAssistant Behavior Analyst
3103K00000XBehavior Analyst1-21-54545FL

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 : 1083131577
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSA ACOSTA IGLESIAS
Provider Business Mailing Address
First Line : 2020 SW 84TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33155-1122
Country : US
Telephone Number : 754-581-7109
Fax Number :
Provider Business Practice Location Address
First Line : 7971 RIVIERA BLVD STE 203
Second Line :
City : MIRAMAR
State : FL
Zip : 33023-6446
Country : US
Telephone Number : 786-508-3245
Fax Number : 561-634-2814
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2017
Last Update Date : 04/13/2026

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Directions to “ ROSA ACOSTA IGLESIAS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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