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NPI Code Detail

MEDICARE: YASER RODRIGUEZ SUAREZ CASE MANAGER

MEDICARE: YASER RODRIGUEZ SUAREZ CASE MANAGER
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
1171M00000XCase Manager/Care CoordinatorFL
2104100000XSocial WorkerFL
3106S00000XBehavior TechnicianRBT-20-125222FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1RBT-20-125222OTHERFLRBT CERTIFICATION NUMBER
2CBHCM100436OTHERFLCBHCM
3CBHCMS100540OTHERFLCBHCMS
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740791235
Entity Type Code : Individual
Provider Name (Legal Business Name) : YASER RODRIGUEZ SUAREZ CASE MANAGER
Provider Business Mailing Address
First Line : 16128 SW 68TH TER
Second Line :
City : MIAMI
State : FL
Zip : 33193-3490
Country : US
Telephone Number : 786-217-8617
Fax Number :
Provider Business Practice Location Address
First Line : 900 E 9TH ST
Second Line :
City : HIALEAH
State : FL
Zip : 33010-4650
Country : US
Telephone Number : 305-381-5294
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2017
Last Update Date : 06/28/2023

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