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NPI Code Detail

MEDICARE: YUDANS ALVAREZ SANTOS

MEDICARE:   YUDANS  ALVAREZ SANTOS
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-20-119591

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 : 1164047643
Entity Type Code : Individual
Provider Name (Legal Business Name) : YUDANS ALVAREZ SANTOS
Provider Business Mailing Address
First Line : 8414 NW 103RD ST APT 106
Second Line :
City : HIALEAH GARDENS
State : FL
Zip : 33016-4672
Country : US
Telephone Number : 305-780-4468
Fax Number :
Provider Business Practice Location Address
First Line : 12700 SW 122ND AVE STE 110
Second Line :
City : MIAMI
State : FL
Zip : 33186-5271
Country : US
Telephone Number : 786-353-2900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2020
Last Update Date : 07/29/2021

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Directions to “ YUDANS ALVAREZ SANTOS ” Practice Location

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