MEDICARE: SANTIAGO LAMPREA

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
1	106S00000X	Behavior Technician	RBT-26-536045	FL

General Provider Information

NPI Number	:	1740118744
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANTIAGO LAMPREA

Provider Business Mailing Address
First Line	:	15419 SW 85TH LN # 198
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33193-1258
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	15419 SW 85TH LN # 198
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33193-1258
Country	:	US
Telephone Number	:	305-879-6479
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2026
Last Update Date	:	05/11/2026

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Directions to “ SANTIAGO LAMPREA ” Practice Location

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