MEDICARE: MAIDE GALVIS-TORRES

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	106S00000X	Behavior Technician	RBT-24-358165	FL

General Provider Information

NPI Number	:	1407692205
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAIDE GALVIS-TORRES

Provider Business Mailing Address
First Line	:	3840 E 8TH LN
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33013-2808
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3840 E 8TH LN
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33013-2808
Country	:	US
Telephone Number	:	305-570-8948
Fax Number	:

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

Provider Enumeration Date	:	07/02/2024
Last Update Date	:	07/02/2024

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Directions to “ MAIDE GALVIS-TORRES ” Practice Location

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