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NPI Code Detail

MEDICARE: BEATRIZ VEGA

MEDICARE:   BEATRIZ  VEGA
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 Technician23-307823FL

General Provider Information

NPI Number : 1740057611
Entity Type Code : Individual
Provider Name (Legal Business Name) : BEATRIZ VEGA
Provider Business Mailing Address
First Line : 1680 W 60TH ST APT 2
Second Line :
City : HIALEAH
State : FL
Zip : 33012-6816
Country : US
Telephone Number : 786-817-9505
Fax Number :
Provider Business Practice Location Address
First Line : 2514 HOLLYWOOD BLVD STE 205
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33020-6637
Country : US
Telephone Number : 754-400-7702
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2023
Last Update Date : 12/11/2023

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Directions to “ BEATRIZ VEGA ” Practice Location

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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.