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NPI Code Detail

MEDICARE: MARYSOL RODRIGUEZ AYALA

MEDICARE:   MARYSOL  RODRIGUEZ AYALA
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 TechnicianR36254005056491FL

General Provider Information

NPI Number : 1790580801
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARYSOL RODRIGUEZ AYALA
Provider Business Mailing Address
First Line : 833 HECTOR LN
Second Line :
City : LEHIGH ACRES
State : FL
Zip : 33974-2620
Country : US
Telephone Number : 239-410-9085
Fax Number :
Provider Business Practice Location Address
First Line : 833 HECTOR LN
Second Line :
City : LEHIGH ACRES
State : FL
Zip : 33974-2620
Country : US
Telephone Number : 239-410-9085
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2025
Last Update Date : 02/14/2025

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Directions to “ MARYSOL RODRIGUEZ AYALA ” Practice Location

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