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NPI Code Detail

MEDICARE: MS. DANIELA MACIEL HERNANDEZ

MEDICARE: MS. DANIELA MACIEL HERNANDEZ
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
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1750660585
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DANIELA MACIEL HERNANDEZ
Provider Business Mailing Address
First Line : 911 N BUFFALO DR UNIT 208
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-0381
Country : US
Telephone Number : 702-834-3884
Fax Number :
Provider Business Practice Location Address
First Line : 911 N BUFFALO DR UNIT 208
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-0381
Country : US
Telephone Number : 702-834-3884
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2011
Last Update Date : 08/10/2011

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Directions to “ MS. DANIELA MACIEL HERNANDEZ ” Practice Location

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