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NPI Code Detail

MEDICARE: TAHIMARYS RUIZ SANTANA

MEDICARE:   TAHIMARYS  RUIZ SANTANA
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 TechnicianRBT-25-447566FL

General Provider Information

NPI Number : 1689565848
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAHIMARYS RUIZ SANTANA
Provider Business Mailing Address
First Line : 8209 MALVERN CIR
Second Line :
City : TAMPA
State : FL
Zip : 33634-2242
Country : US
Telephone Number : 754-267-1354
Fax Number :
Provider Business Practice Location Address
First Line : 8209 MALVERN CIR
Second Line :
City : TAMPA
State : FL
Zip : 33634-2242
Country : US
Telephone Number : 754-267-1354
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2025
Last Update Date : 07/14/2025

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Directions to “ TAHIMARYS RUIZ SANTANA ” Practice Location

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