MEDICARE: CARINA D ALVARADO ALVARADO

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
1	106S00000X	Behavior Technician	RBT-24-356468	FL

General Provider Information

NPI Number	:	1649015306
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARINA D ALVARADO ALVARADO

Provider Business Mailing Address
First Line	:	2321 SHIMMERY LN
Second Line	:
City	:	LANTANA
State	:	FL
Zip	:	33462-6001
Country	:	US
Telephone Number	:	561-667-7467
Fax Number	:

Provider Business Practice Location Address
First Line	:	2321 SHIMMERY LN
Second Line	:
City	:	LANTANA
State	:	FL
Zip	:	33462-6001
Country	:	US
Telephone Number	:	561-667-7467
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2024
Last Update Date	:	06/26/2024

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Directions to “ CARINA D ALVARADO ALVARADO ” Practice Location

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