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NPI Code Detail

MEDICARE: YANILEY BENITEZ DUARTE

MEDICARE:   YANILEY  BENITEZ DUARTE
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-24-365650FL

General Provider Information

NPI Number : 1114758521
Entity Type Code : Individual
Provider Name (Legal Business Name) : YANILEY BENITEZ DUARTE
Provider Business Mailing Address
First Line : 475 E 17TH ST
Second Line :
City : HIALEAH
State : FL
Zip : 33010-3250
Country : US
Telephone Number : 786-200-0273
Fax Number :
Provider Business Practice Location Address
First Line : 475 E 17TH ST
Second Line :
City : HIALEAH
State : FL
Zip : 33010-3250
Country : US
Telephone Number : 786-200-0273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2024
Last Update Date : 08/09/2024

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Directions to “ YANILEY BENITEZ DUARTE ” Practice Location

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