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NPI Code Detail

MEDICARE: LIDIANY CUBA CORRALES

MEDICARE:   LIDIANY  CUBA CORRALES
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 Technician

General Provider Information

NPI Number : 1407629454
Entity Type Code : Individual
Provider Name (Legal Business Name) : LIDIANY CUBA CORRALES
Provider Business Mailing Address
First Line : 7226 SW 94TH PL APT F3
Second Line :
City : MIAMI
State : FL
Zip : 33173-3277
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7226 SW 94TH PL APT F3
Second Line :
City : MIAMI
State : FL
Zip : 33173-3277
Country : US
Telephone Number : 305-345-2554
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2023
Last Update Date : 11/01/2023

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Directions to “ LIDIANY CUBA CORRALES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.