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NPI Code Detail

MEDICARE: IDANIA F VALDES CASTILLO

MEDICARE: IDANIA F VALDES CASTILLO
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 TechnicianFL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851822878
Entity Type Code : Individual
Provider Name (Legal Business Name) : IDANIA F VALDES CASTILLO
Provider Business Mailing Address
First Line : 1525 S GATOR CIR
Second Line :
City : CAPE CORAL
State : FL
Zip : 33909-6506
Country : US
Telephone Number : 786-803-5640
Fax Number :
Provider Business Practice Location Address
First Line : 1525 S GATOR CIR
Second Line :
City : CAPE CORAL
State : FL
Zip : 33909-6506
Country : US
Telephone Number : 786-803-5640
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2017
Last Update Date : 03/03/2026

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Directions to “ IDANIA F VALDES CASTILLO ” Practice Location

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