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NPI Code Detail

MEDICARE: KRISTIAUN COPEZ-MINOR

MEDICARE: KRISTIAUN COPEZ-MINOR
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
1171M00000XCase Manager/Care Coordinator
2385H00000XRespite CareOH

General Provider Information

NPI Number : 1861375495
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIAUN COPEZ-MINOR
Provider Business Mailing Address
First Line : 13201 GRANGER RD STE 8
Second Line :
City : CLEVELAND
State : OH
Zip : 44125-1979
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13201 GRANGER RD STE 8
Second Line :
City : CLEVELAND
State : OH
Zip : 44125-1979
Country : US
Telephone Number : 216-831-2255
Fax Number : 216-378-3906
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2025
Last Update Date : 05/11/2026

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Directions to “ KRISTIAUN COPEZ-MINOR ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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