MEDICARE: IDALMIS TURRUELLES

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	235Z00000X	Speech-Language Pathologist	SA16269	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1124431010
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IDALMIS TURRUELLES

Provider Business Mailing Address
First Line	:	12792 SW 228TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33170-2753
Country	:	US
Telephone Number	:	305-299-6374
Fax Number	:	786-845-6570

Provider Business Practice Location Address
First Line	:	12792 SW 228TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33170-2753
Country	:	US
Telephone Number	:	305-299-6374
Fax Number	:	786-845-6570

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

Provider Enumeration Date	:	06/09/2014
Last Update Date	:	08/15/2023

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Directions to “ IDALMIS TURRUELLES ” Practice Location

Language	Start Address	Practice Location

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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