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NPI Code Detail

MEDICARE: MARILEIDY GARCIA CONESA

MEDICARE:   MARILEIDY  GARCIA CONESA
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 TechnicianRBT21-189539

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1RBT-21-189539OTHERREGISTERED BEHAVIOR TECHNICIAN
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861112542
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARILEIDY GARCIA CONESA
Provider Business Mailing Address
First Line : 4475 NW 169TH TER
Second Line :
City : MIAMI GARDENS
State : FL
Zip : 33055-4324
Country : US
Telephone Number : 786-658-5038
Fax Number :
Provider Business Practice Location Address
First Line : 4475 NW 169TH TER
Second Line :
City : MIAMI GARDENS
State : FL
Zip : 33055-4324
Country : US
Telephone Number : 786-658-5038
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2022
Last Update Date : 09/01/2022

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Directions to “ MARILEIDY GARCIA CONESA ” Practice Location

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