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NPI Code Detail

MEDICARE: ESTHER MESA PACHECO

MEDICARE:   ESTHER  MESA PACHECO
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 Technician20-118358FL

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 : 1306468913
Entity Type Code : Individual
Provider Name (Legal Business Name) : ESTHER MESA PACHECO
Provider Business Mailing Address
First Line : 854 NW 87TH AVE APT 505
Second Line :
City : MIAMI
State : FL
Zip : 33172-3444
Country : US
Telephone Number : 786-226-2953
Fax Number :
Provider Business Practice Location Address
First Line : 854 NW 87TH AVE APT 505
Second Line :
City : MIAMI
State : FL
Zip : 33172-3444
Country : US
Telephone Number : 786-226-2953
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2020
Last Update Date : 06/08/2020

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Directions to “ ESTHER MESA PACHECO ” Practice Location

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