MEDICARE: YURDAIMY LOPEZ VALDES

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	RBT-25-437220	FL

General Provider Information

NPI Number	:	1285527283
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YURDAIMY LOPEZ VALDES

Provider Business Mailing Address
First Line	:	4610 SW 135TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-3813
Country	:	US
Telephone Number	:	786-717-3328
Fax Number	:

Provider Business Practice Location Address
First Line	:	4610 SW 135TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-3813
Country	:	US
Telephone Number	:	786-717-3328
Fax Number	:

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

Provider Enumeration Date	:	05/30/2025
Last Update Date	:	05/30/2025

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Directions to “ YURDAIMY LOPEZ VALDES ” Practice Location

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