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NPI Code Detail

MEDICARE: RAQUEL VILLANUEVA

MEDICARE: RAQUEL VILLANUEVA
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

General Provider Information

NPI Number : 1891427886
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAQUEL VILLANUEVA
Provider Business Mailing Address
First Line : 121 CLOWSON CT
Second Line :
City : OCOEE
State : FL
Zip : 34761-7010
Country : US
Telephone Number : 407-515-0374
Fax Number :
Provider Business Practice Location Address
First Line : 601 S LAKE DESTINY RD STE 350
Second Line :
City : MAITLAND
State : FL
Zip : 32751-7222
Country : US
Telephone Number : 616-222-5607
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2022
Last Update Date : 03/11/2026

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Directions to “ RAQUEL VILLANUEVA ” Practice Location

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