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NPI Code Detail

MEDICARE: YUSLEIDYS MENDEZ DOMINGUEZ

MEDICARE:   YUSLEIDYS  MENDEZ DOMINGUEZ
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-24-335163FL

General Provider Information

NPI Number : 1518711134
Entity Type Code : Individual
Provider Name (Legal Business Name) : YUSLEIDYS MENDEZ DOMINGUEZ
Provider Business Mailing Address
First Line : 10652 NW 88TH AVE
Second Line :
City : HIALEAH GARDENS
State : FL
Zip : 33018-4609
Country : US
Telephone Number : 305-462-9108
Fax Number :
Provider Business Practice Location Address
First Line : 10652 NW 88TH AVE
Second Line :
City : HIALEAH GARDENS
State : FL
Zip : 33018-4609
Country : US
Telephone Number : 305-462-9108
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2024
Last Update Date : 04/11/2024

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Directions to “ YUSLEIDYS MENDEZ DOMINGUEZ ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.