MEDICARE: BELMARIS CRUZ GALVEZ

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-23-290810	FL

General Provider Information

NPI Number	:	1457132771
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BELMARIS CRUZ GALVEZ

Provider Business Mailing Address
First Line	:	10210 NICARAGUA DR
Second Line	:
City	:	CUTLER BAY
State	:	FL
Zip	:	33189-2341
Country	:	US
Telephone Number	:	786-818-3195
Fax Number	:

Provider Business Practice Location Address
First Line	:	10210 NICARAGUA DR
Second Line	:
City	:	CUTLER BAY
State	:	FL
Zip	:	33189-2341
Country	:	US
Telephone Number	:	786-818-3195
Fax Number	:

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

Provider Enumeration Date	:	10/12/2023
Last Update Date	:	10/12/2023

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Directions to “ BELMARIS CRUZ GALVEZ ” Practice Location

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