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NPI Code Detail

MEDICARE: JUAN MANUEL CORDERO HERNANDEZ

MEDICARE:   JUAN MANUEL CORDERO HERNANDEZ
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-25-431540FL

General Provider Information

NPI Number : 1457229379
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUAN MANUEL CORDERO HERNANDEZ
Provider Business Mailing Address
First Line : 11185 HARBOUR SPRINGS CIR
Second Line :
City : BOCA RATON
State : FL
Zip : 33428-1246
Country : US
Telephone Number : 561-552-2313
Fax Number :
Provider Business Practice Location Address
First Line : 11185 HARBOUR SPRINGS CIR
Second Line :
City : BOCA RATON
State : FL
Zip : 33428-1246
Country : US
Telephone Number : 561-552-2313
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2025
Last Update Date : 10/23/2025

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Directions to “ JUAN MANUEL CORDERO HERNANDEZ ” Practice Location

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