MEDICARE: MELVYS PORTILLO HERNANDEZ

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
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1255993895
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELVYS PORTILLO HERNANDEZ

Provider Business Mailing Address
First Line	:	6470 SHERIDAN ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33024-4139
Country	:	US
Telephone Number	:	702-502-1822
Fax Number	:

Provider Business Practice Location Address
First Line	:	6470 SHERIDAN ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33024-4139
Country	:	US
Telephone Number	:	702-502-1822
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2019
Last Update Date	:	07/03/2019

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Directions to “ MELVYS PORTILLO HERNANDEZ ” Practice Location

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