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NPI Code Detail

MEDICARE: YILIAM MERCEDES DAVILA DIAZ

MEDICARE:   YILIAM MERCEDES DAVILA DIAZ
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 TechnicianRBT22219115FL

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 : 1386342038
Entity Type Code : Individual
Provider Name (Legal Business Name) : YILIAM MERCEDES DAVILA DIAZ
Provider Business Mailing Address
First Line : 6950 W 6TH AVE APT 410
Second Line :
City : HIALEAH
State : FL
Zip : 33014-4892
Country : US
Telephone Number : 786-587-9178
Fax Number :
Provider Business Practice Location Address
First Line : 6950 W 6TH AVE APT 410
Second Line :
City : HIALEAH
State : FL
Zip : 33014-4892
Country : US
Telephone Number : 786-587-9178
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2023
Last Update Date : 02/22/2023

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Directions to “ YILIAM MERCEDES DAVILA DIAZ ” Practice Location

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