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NPI Code Detail

MEDICARE: MARCELO HECTOR GUERRA

MEDICARE:   MARCELO HECTOR GUERRA
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-19-88826FL
2103K00000XBehavior Analyst1-23-68922

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 : 1710545538
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCELO HECTOR GUERRA
Provider Business Mailing Address
First Line : 11791 SW 15TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33184-2557
Country : US
Telephone Number : 305-331-1885
Fax Number :
Provider Business Practice Location Address
First Line : 4560 SW 128TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33175-4610
Country : US
Telephone Number : 786-973-7474
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2019
Last Update Date : 02/06/2024

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Directions to “ MARCELO HECTOR GUERRA ” Practice Location

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