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NPI Code Detail

MEDICARE: YENEIRIS LARREA RODRIGUEZ RBT

MEDICARE: YENEIRIS LARREA RODRIGUEZ RBT
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-20-113016FL

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 : 1144859893
Entity Type Code : Individual
Provider Name (Legal Business Name) : YENEIRIS LARREA RODRIGUEZ RBT
Provider Business Mailing Address
First Line : 3900 W 6TH AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33012-4211
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1022 E 8TH AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33010-3755
Country : US
Telephone Number : 786-709-7944
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2020
Last Update Date : 09/01/2023

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