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NPI Code Detail

MEDICARE: YADIRA CARIDAD VALDIVIA

MEDICARE:   YADIRA CARIDAD VALDIVIA
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-24-382442FL

General Provider Information

NPI Number : 1730909797
Entity Type Code : Individual
Provider Name (Legal Business Name) : YADIRA CARIDAD VALDIVIA
Provider Business Mailing Address
First Line : 296 E 4TH ST UNIT 201
Second Line :
City : HIALEAH
State : FL
Zip : 33010-6227
Country : US
Telephone Number : 786-918-4307
Fax Number :
Provider Business Practice Location Address
First Line : 296 E 4TH ST UNIT 201
Second Line :
City : HIALEAH
State : FL
Zip : 33010-6227
Country : US
Telephone Number : 786-918-4307
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2024
Last Update Date : 10/15/2024

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Directions to “ YADIRA CARIDAD VALDIVIA ” Practice Location

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