MEDICARE: AIDA GAMEZ SUAREZ

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
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1114881562
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AIDA GAMEZ SUAREZ

Provider Business Mailing Address
First Line	:	2121 MCCOY RD APT 239
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32809-7813
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2121 MCCOY RD APT 329
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32809-7818
Country	:	US
Telephone Number	:	407-535-9887
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/10/2025
Last Update Date	:	12/10/2025

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Directions to “ AIDA GAMEZ SUAREZ ” Practice Location

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