MEDICARE: ROLANDO VALDES GUTIERREZ

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-24-326156	FL

General Provider Information

NPI Number	:	1831953512
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROLANDO VALDES GUTIERREZ

Provider Business Mailing Address
First Line	:	19355 FRANJO RD
Second Line	:
City	:	CUTLER BAY
State	:	FL
Zip	:	33157-8817
Country	:	US
Telephone Number	:	786-714-9378
Fax Number	:

Provider Business Practice Location Address
First Line	:	19355 FRANJO RD
Second Line	:
City	:	CUTLER BAY
State	:	FL
Zip	:	33157-8817
Country	:	US
Telephone Number	:	786-714-9378
Fax Number	:

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

Provider Enumeration Date	:	02/12/2024
Last Update Date	:	03/05/2026

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Directions to “ ROLANDO VALDES GUTIERREZ ” Practice Location

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