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NPI Code Detail

MEDICARE: DAYANIS AVILA MACEO

MEDICARE:   DAYANIS  AVILA MACEO
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 TechnicianFL

General Provider Information

NPI Number : 1639688518
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAYANIS AVILA MACEO
Provider Business Mailing Address
First Line : 1060 W 74TH ST APT 308
Second Line :
City : HIALEAH
State : FL
Zip : 33014-4679
Country : US
Telephone Number : 786-523-4669
Fax Number :
Provider Business Practice Location Address
First Line : 1060 W 74TH ST APT 308
Second Line :
City : HIALEAH
State : FL
Zip : 33014-4679
Country : US
Telephone Number : 786-523-4669
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2017
Last Update Date : 07/21/2022

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Directions to “ DAYANIS AVILA MACEO ” Practice Location

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