MEDICARE: MRS. ROXANA BAEZ MERRERO HHA

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
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1366393811
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ROXANA BAEZ MERRERO HHA

Provider Business Mailing Address
First Line	:	2771 NW 173RD TER
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33056-4060
Country	:	US
Telephone Number	:	786-644-6887
Fax Number	:

Provider Business Practice Location Address
First Line	:	2771 NW 173RD TER
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33056-4060
Country	:	US
Telephone Number	:	786-644-6887
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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