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NPI Code Detail

MEDICARE: ANGEL FELIX GALVEZ PUYUELO

MEDICARE: ANGEL FELIX GALVEZ PUYUELO
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-24-322679FL

General Provider Information

NPI Number : 1427810829
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGEL FELIX GALVEZ PUYUELO
Provider Business Mailing Address
First Line : 4943 CEDAR OAK WAY
Second Line :
City : SARASOTA
State : FL
Zip : 34233-3289
Country : US
Telephone Number : 941-356-1728
Fax Number :
Provider Business Practice Location Address
First Line : 4509 BEE RIDGE RD UNIT E
Second Line :
City : SARASOTA
State : FL
Zip : 34233-2539
Country : US
Telephone Number : 941-356-1728
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2024
Last Update Date : 01/30/2024

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Directions to “ ANGEL FELIX GALVEZ PUYUELO ” Practice Location

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