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NPI Code Detail

MEDICARE: DIANA R MENDEZ RAMOS

MEDICARE:   DIANA R MENDEZ RAMOS
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 : 1730604455
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANA R MENDEZ RAMOS
Provider Business Mailing Address
First Line : 4932 SW 87TH PL
Second Line :
City : MIAMI
State : FL
Zip : 33165-6709
Country : US
Telephone Number : 786-560-9390
Fax Number :
Provider Business Practice Location Address
First Line : 4932 SW 87TH PL
Second Line :
City : MIAMI
State : FL
Zip : 33165-6709
Country : US
Telephone Number : 786-560-9390
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2017
Last Update Date : 03/11/2022

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Directions to “ DIANA R MENDEZ RAMOS ” Practice Location

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