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NPI Code Detail

MEDICARE: DANIELA BALMASEDA DOMINGUEZ

MEDICARE:   DANIELA  BALMASEDA DOMINGUEZ
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-23-312715FL

General Provider Information

NPI Number : 1346015971
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELA BALMASEDA DOMINGUEZ
Provider Business Mailing Address
First Line : 1769 SW 138TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33175-7545
Country : US
Telephone Number : 786-237-4829
Fax Number :
Provider Business Practice Location Address
First Line : 1769 SW 138TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33175-7545
Country : US
Telephone Number : 786-237-4829
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2023
Last Update Date : 11/30/2023

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Directions to “ DANIELA BALMASEDA DOMINGUEZ ” Practice Location

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