MEDICARE: JACQUELINE BOCHS TORRES

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	20-117391	FL
2	235Z00000X	Speech-Language Pathologist	SZ12902	FL

General Provider Information

NPI Number	:	1265973341
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACQUELINE BOCHS TORRES

Provider Business Mailing Address
First Line	:	5111 NW 190TH ST
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33055-2447
Country	:	US
Telephone Number	:	786-720-5173
Fax Number	:

Provider Business Practice Location Address
First Line	:	5111 NW 190TH ST
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33055-2447
Country	:	US
Telephone Number	:	786-720-5173
Fax Number	:

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

Provider Enumeration Date	:	03/09/2017
Last Update Date	:	12/10/2025

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Directions to “ JACQUELINE BOCHS TORRES ” Practice Location

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