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NPI Code Detail

MEDICARE: LIUVER RODRIGUEZ MARICHAL

MEDICARE:   LIUVER  RODRIGUEZ MARICHAL
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
1363LF0000XFamily Nurse Practitioner857088NV
2103K00000XBehavior Analyst
3163W00000XRegistered Nurse857088NV

General Provider Information

NPI Number : 1518501295
Entity Type Code : Individual
Provider Name (Legal Business Name) : LIUVER RODRIGUEZ MARICHAL
Provider Business Mailing Address
First Line : 6101 BLUE LAGOON DR STE 200
Second Line :
City : MIAMI
State : FL
Zip : 33126-3168
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2335 E LAKE MEAD BLVD
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89030-7141
Country : US
Telephone Number : 702-840-2538
Fax Number : 877-569-2671
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2019
Last Update Date : 12/11/2025

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Directions to “ LIUVER RODRIGUEZ MARICHAL ” Practice Location

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