MEDICARE: CLAUDIA SOTO DIAZ

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
1	106S00000X	Behavior Technician	RBT-23-299277	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891575064
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDIA SOTO DIAZ

Provider Business Mailing Address
First Line	:	4030 CORONADO PKWY APT 102
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33904-7306
Country	:	US
Telephone Number	:	239-867-1880
Fax Number	:

Provider Business Practice Location Address
First Line	:	4030 CORONADO PKWY APT 102
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33904-7306
Country	:	US
Telephone Number	:	239-867-1880
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2023
Last Update Date	:	11/02/2023

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Directions to “ CLAUDIA SOTO DIAZ ” Practice Location

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