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NPI Code Detail

MEDICARE: YISSEL FELICITA PEREZ RODRIGUEZ

MEDICARE: YISSEL FELICITA PEREZ RODRIGUEZ
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-24-387510FL

General Provider Information

NPI Number : 1891510483
Entity Type Code : Individual
Provider Name (Legal Business Name) : YISSEL FELICITA PEREZ RODRIGUEZ
Provider Business Mailing Address
First Line : 4821 SABLE PINE CIR APT C2
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33417-2791
Country : US
Telephone Number : 561-541-6105
Fax Number :
Provider Business Practice Location Address
First Line : 3175 S CONGRESS AVE STE 103
Second Line :
City : PALM SPRINGS
State : FL
Zip : 33461-2502
Country : US
Telephone Number : 561-729-6631
Fax Number : 561-771-6630
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2024
Last Update Date : 03/09/2026

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Directions to “ YISSEL FELICITA PEREZ RODRIGUEZ ” 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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