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NPI Code Detail

MEDICARE: MIGUEL PICASSO

MEDICARE: MIGUEL PICASSO
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
1251B00000XCase Management Agency
2174H00000XHealth Educator
3171M00000XCase Manager/Care Coordinator
4225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1194284158
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIGUEL PICASSO
Provider Business Mailing Address
First Line : 10400 FRICOT CITY RD
Second Line :
City : SAN ANDREAS
State : CA
Zip : 95249-9642
Country : US
Telephone Number : 209-736-4500
Fax Number :
Provider Business Practice Location Address
First Line : 10400 FRICOT CITY RD
Second Line :
City : SAN ANDREAS
State : CA
Zip : 95249-9642
Country : US
Telephone Number : 209-736-4500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2019
Last Update Date : 09/25/2025

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Directions to “ MIGUEL PICASSO ” Practice Location

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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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