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NPI Code Detail

MEDICARE: AGUSTIN ALTAMIRANO ROMERO RBT

MEDICARE: AGUSTIN ALTAMIRANO ROMERO RBT
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-25-486697FL

General Provider Information

NPI Number : 1356210942
Entity Type Code : Individual
Provider Name (Legal Business Name) : AGUSTIN ALTAMIRANO ROMERO RBT
Provider Business Mailing Address
First Line : 670 W 46TH ST APT 9
Second Line :
City : MIAMI BEACH
State : FL
Zip : 33140-3045
Country : US
Telephone Number : 786-219-5698
Fax Number :
Provider Business Practice Location Address
First Line : 670 W 46TH ST APT 9
Second Line :
City : MIAMI BEACH
State : FL
Zip : 33140-3045
Country : US
Telephone Number : 786-219-5698
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2025
Last Update Date : 12/15/2025

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