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NPI Code Detail

MEDICARE: YUDEISY CARDENAS

MEDICARE:   YUDEISY  CARDENAS
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-24-388798

General Provider Information

NPI Number : 1215750195
Entity Type Code : Individual
Provider Name (Legal Business Name) : YUDEISY CARDENAS
Provider Business Mailing Address
First Line : 251 NE 6TH AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33010-5019
Country : US
Telephone Number : 786-624-9279
Fax Number :
Provider Business Practice Location Address
First Line : 251 NE 6TH AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33010-5019
Country : US
Telephone Number : 786-624-9279
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2024
Last Update Date : 11/07/2024

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Directions to “ YUDEISY CARDENAS ” Practice Location

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