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NPI Code Detail

MEDICARE: YILIAM DIAZ RODRIGUEZ

MEDICARE: YILIAM DIAZ RODRIGUEZ
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 Technician

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 : 1336883990
Entity Type Code : Individual
Provider Name (Legal Business Name) : YILIAM DIAZ RODRIGUEZ
Provider Business Mailing Address
First Line : 1324 BARRINGTON DR
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33406-5005
Country : US
Telephone Number : 786-325-6181
Fax Number :
Provider Business Practice Location Address
First Line : 6145 LAKE WORTH RD STE A
Second Line :
City : GREENACRES
State : FL
Zip : 33463-3001
Country : US
Telephone Number : 561-421-0047
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2022
Last Update Date : 04/21/2026

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Directions to “ YILIAM DIAZ RODRIGUEZ ” Practice Location

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