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NPI Code Detail

MEDICARE: DAMARYS JAURIGA ACOSTA

MEDICARE: DAMARYS JAURIGA ACOSTA
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-20-128759FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306576574
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAMARYS JAURIGA ACOSTA
Provider Business Mailing Address
First Line : 3710 ENGLISH RD APT A
Second Line :
City : LAKE WORTH
State : FL
Zip : 33467-3131
Country : US
Telephone Number : 305-922-8369
Fax Number :
Provider Business Practice Location Address
First Line : 7971 RIVIERA BLVD STE 203
Second Line :
City : MIRAMAR
State : FL
Zip : 33023-6446
Country : US
Telephone Number : 786-508-3245
Fax Number : 561-634-2814
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2022
Last Update Date : 03/05/2026

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Directions to “ DAMARYS JAURIGA ACOSTA ” Practice Location

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