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NPI Code Detail

MEDICARE: ILIANY HERNANDEZ SEIJAS

MEDICARE: ILIANY HERNANDEZ SEIJAS
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-24-366869FL

General Provider Information

NPI Number : 1134951254
Entity Type Code : Individual
Provider Name (Legal Business Name) : ILIANY HERNANDEZ SEIJAS
Provider Business Mailing Address
First Line : 4318 SW 9TH PL
Second Line :
City : CAPE CORAL
State : FL
Zip : 33914-5759
Country : US
Telephone Number : 239-763-3129
Fax Number :
Provider Business Practice Location Address
First Line : 4318 SW 9TH PL
Second Line :
City : CAPE CORAL
State : FL
Zip : 33914-5759
Country : US
Telephone Number : 239-763-3129
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2024
Last Update Date : 08/16/2024

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Directions to “ ILIANY HERNANDEZ SEIJAS ” Practice Location

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