MEDICARE: PENELOPE RIOS MALLEA

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-24-349370	FL

General Provider Information

NPI Number	:	1659110104
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PENELOPE RIOS MALLEA

Provider Business Mailing Address
First Line	:	141 W 63RD ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-2651
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	141 W 63RD ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-2651
Country	:	US
Telephone Number	:	786-525-1738
Fax Number	:

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

Provider Enumeration Date	:	05/23/2024
Last Update Date	:	05/23/2024

Similar Medicare Providers

1053086033 — ARIADNA DIAZ MARTINEZ
Practice Location Address:

2651 W 12TH AVE
HIALEAH, FL
33010-1014

Practice Phone: 786-286-2278
Practice Fax:

1710677505 — PABLO MOYA
Practice Location Address:

2651 W 72ND ST
HIALEAH, FL
33016-5438

Practice Phone: 786-797-9525
Practice Fax:

1639980709 — NIDIA M DIAZ APRN
Practice Location Address:

2194 W 60TH ST APT 22208
HIALEAH, FL
33016-2651

Practice Phone: 305-244-2282
Practice Fax:

1548111271 — CLAUDIA BAGAN OPT
Practice Location Address:

1460 W 43RD PL APT 104
HIALEAH, FL
33012-7608

Practice Phone: 786-346-8236
Practice Fax:

1922773431 — CRYSTAL M RIVERA
Practice Location Address:

4175 W 20TH AVE
HIALEAH, FL
33012-5874

Practice Phone: 305-825-0300
Practice Fax:

1376495606 — OSMANI BRITO TAMAYO
Practice Location Address:

1270 W 42ND ST APT 203
HIALEAH, FL
33012-8712

Practice Phone: 305-951-3253
Practice Fax:

Directions to “ PENELOPE RIOS MALLEA ” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.