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NPI Code Detail

MEDICARE: MAIKEL CARRILLO DEL VALLE

MEDICARE:   MAIKEL  CARRILLO DEL VALLE
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-25-435997FL

General Provider Information

NPI Number : 1295695260
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAIKEL CARRILLO DEL VALLE
Provider Business Mailing Address
First Line : 11603 NW 4TH WAY
Second Line :
City : MIAMI
State : FL
Zip : 33172-4928
Country : US
Telephone Number : 786-738-3773
Fax Number : 786-907-4972
Provider Business Practice Location Address
First Line : 11603 NW 4TH WAY
Second Line :
City : MIAMI
State : FL
Zip : 33172-4928
Country : US
Telephone Number : 786-738-3773
Fax Number : 786-907-4972
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2025
Last Update Date : 11/13/2025

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Directions to “ MAIKEL CARRILLO DEL VALLE ” Practice Location

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