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NPI Code Detail

MEDICARE: ROXANA TRUEBAS DIAZ

MEDICARE:   ROXANA  TRUEBAS DIAZ
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 Technician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649716382
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROXANA TRUEBAS DIAZ
Provider Business Mailing Address
First Line : 7101 NW 174TH TER APT 101
Second Line :
City : HIALEAH
State : FL
Zip : 33015-1181
Country : US
Telephone Number : 786-651-1512
Fax Number :
Provider Business Practice Location Address
First Line : 7101 NW 174TH TER APT 101
Second Line :
City : HIALEAH
State : FL
Zip : 33015-1181
Country : US
Telephone Number : 786-651-1512
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2017
Last Update Date : 09/07/2021

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Directions to “ ROXANA TRUEBAS DIAZ ” Practice Location

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