MEDICARE: SUSEJ OLIVA VALLE

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-20-117949	FL

General Provider Information

NPI Number	:	1740803824
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSEJ OLIVA VALLE

Provider Business Mailing Address
First Line	:	115 W 38TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-4403
Country	:	US
Telephone Number	:	786-307-1435
Fax Number	:

Provider Business Practice Location Address
First Line	:	115 W 38TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-4403
Country	:	US
Telephone Number	:	786-307-1435
Fax Number	:

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

Provider Enumeration Date	:	05/22/2020
Last Update Date	:	05/22/2020

Similar Medicare Providers

1790548758 — YESY CRUZ MENENDEZ
Practice Location Address:

195 W 38TH ST
HIALEAH, FL
33012-4403

Practice Phone: 305-967-2479
Practice Fax:

1720183676 — GUTIERREZ RUIZ MD PA
Practice Location Address:

1949 W 68TH ST
HIALEAH, FL
33014-4403

Practice Phone: 305-828-9100
Practice Fax: 305-828-5553

1770650830 — ABCD SOLUTION SERVICES INC
Practice Location Address:

1933 W 68TH ST
HIALEAH, FL
33014-4403

Practice Phone: 305-362-8389
Practice Fax: 305-362-8758

1558511345 — KARELIA RUIZ MD PA
Practice Location Address:

1949 W 68TH ST
HIALEAH, FL
33014-4403

Practice Phone: 305-828-9100
Practice Fax:

1891151791 — AMAZING TOUCH DENTAL CORP.
Practice Location Address:

1955 W 68TH ST
HIALEAH, FL
33014-4403

Practice Phone: 786-257-1646
Practice Fax: 305-825-7676

1801371539 — MM EYECARE CONSULTANTS, INC
Practice Location Address:

1949 W 68TH ST
HIALEAH, FL
33014-4403

Practice Phone: 786-391-1301
Practice Fax: 786-391-1240

Directions to “ SUSEJ OLIVA VALLE ” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.