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NPI Code Detail

MEDICARE: LINDA P JIMENEZ RUIZ

MEDICARE:   LINDA P JIMENEZ RUIZ
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 TechnicianRBT-20-128313FL

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 : 1871244475
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA P JIMENEZ RUIZ
Provider Business Mailing Address
First Line : 3740 NW 176TH ST
Second Line :
City : MIAMI GARDENS
State : FL
Zip : 33055-3838
Country : US
Telephone Number : 305-342-7212
Fax Number :
Provider Business Practice Location Address
First Line : 3740 NW 176TH ST
Second Line :
City : MIAMI GARDENS
State : FL
Zip : 33055-3838
Country : US
Telephone Number : 305-342-7212
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2022
Last Update Date : 01/14/2022

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Directions to “ LINDA P JIMENEZ RUIZ ” Practice Location

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