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NPI Code Detail

MEDICARE: MAURICIO GARCIA LOSADA

MEDICARE: MAURICIO GARCIA LOSADA
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
1103K00000XBehavior Analyst
2106S00000XBehavior 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 : 1659033900
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAURICIO GARCIA LOSADA
Provider Business Mailing Address
First Line : 692 NW PLACID AVE
Second Line :
City : PORT ST LUCIE
State : FL
Zip : 34983-1012
Country : US
Telephone Number : 305-795-0600
Fax Number :
Provider Business Practice Location Address
First Line : 130 S INDIAN RIVER DR STE 237
Second Line :
City : FORT PIERCE
State : FL
Zip : 34950-4353
Country : US
Telephone Number : 305-795-0600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2021
Last Update Date : 05/27/2026

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Directions to “ MAURICIO GARCIA LOSADA ” Practice Location

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