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NPI Code Detail

MEDICARE: TALIA DE LOURDES HUGUET YUQUE

MEDICARE:   TALIA DE LOURDES HUGUET YUQUE
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 Technician

General Provider Information

NPI Number : 1891294963
Entity Type Code : Individual
Provider Name (Legal Business Name) : TALIA DE LOURDES HUGUET YUQUE
Provider Business Mailing Address
First Line : 418 SE 8TH ST LOT 4
Second Line :
City : HALLANDALE BEACH
State : FL
Zip : 33009-6438
Country : US
Telephone Number : 786-609-3870
Fax Number :
Provider Business Practice Location Address
First Line : 2607 JOHNSON ST
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33020-3821
Country : US
Telephone Number : 305-850-1935
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2018
Last Update Date : 09/19/2024

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Directions to “ TALIA DE LOURDES HUGUET YUQUE ” Practice Location

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