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NPI Code Detail

MEDICARE: MELBA CASADO BS

MEDICARE: MELBA CASADO BS
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
1104100000XSocial Worker

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 : 1902856693
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELBA CASADO BS
Provider Business Mailing Address
First Line : 11031 NE 6TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33161-7182
Country : US
Telephone Number : 305-398-6102
Fax Number : 305-757-4465
Provider Business Practice Location Address
First Line : 1905 NW 82ND AVE
Second Line :
City : DORAL
State : FL
Zip : 33126-1011
Country : US
Telephone Number : 305-406-9585
Fax Number : 305-406-9478
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2006
Last Update Date : 05/24/2008

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