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NPI Code Detail

MEDICARE: YISEL ARIAS MOSQUERA

MEDICARE:   YISEL  ARIAS MOSQUERA
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-20-119421FL

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 : 1255096665
Entity Type Code : Individual
Provider Name (Legal Business Name) : YISEL ARIAS MOSQUERA
Provider Business Mailing Address
First Line : 7749 N KENDALL DR APT D225
Second Line :
City : MIAMI
State : FL
Zip : 33156-7718
Country : US
Telephone Number : 786-355-3994
Fax Number :
Provider Business Practice Location Address
First Line : 7749 N KENDALL DR APT D225
Second Line :
City : MIAMI
State : FL
Zip : 33156-7718
Country : US
Telephone Number : 786-355-3994
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2021
Last Update Date : 11/02/2021

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Directions to “ YISEL ARIAS MOSQUERA ” Practice Location

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