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NPI Code Detail

MEDICARE: DAVID ALEJANDRO LOVERA CARRASQUERO

MEDICARE: DAVID ALEJANDRO LOVERA CARRASQUERO
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-25-476630FL

General Provider Information

NPI Number : 1366318727
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID ALEJANDRO LOVERA CARRASQUERO
Provider Business Mailing Address
First Line : 2985 BOSQUE AVE APT 102
Second Line :
City : KISSIMMEE
State : FL
Zip : 34746-4421
Country : US
Telephone Number : 305-491-1481
Fax Number :
Provider Business Practice Location Address
First Line : 2985 BOSQUE AVE APT 102
Second Line :
City : KISSIMMEE
State : FL
Zip : 34746-4421
Country : US
Telephone Number : 305-491-1481
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2025
Last Update Date : 01/02/2026

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Directions to “ DAVID ALEJANDRO LOVERA CARRASQUERO ” Practice Location

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