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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

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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.