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NPI Code Detail

MEDICARE: DAYISMEY LLERENA RUIZ

MEDICARE: DAYISMEY LLERENA RUIZ
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-25-489509FL

General Provider Information

NPI Number : 1164382230
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAYISMEY LLERENA RUIZ
Provider Business Mailing Address
First Line : 6916 LONGMEADE LN
Second Line :
City : ORLANDO
State : FL
Zip : 32822-3656
Country : US
Telephone Number : 407-406-8676
Fax Number :
Provider Business Practice Location Address
First Line : 6916 LONGMEADE LN
Second Line :
City : ORLANDO
State : FL
Zip : 32822-3656
Country : US
Telephone Number : 407-406-8676
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2025
Last Update Date : 11/12/2025

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Directions to “ DAYISMEY LLERENA RUIZ ” Practice Location

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