MEDICARE: BILL IN GREEN LLC

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	235500000X	Speech/Language/Hearing Specialist/Technologist

General Provider Information

NPI Number	:	1932744638
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BILL IN GREEN LLC

Provider Business Mailing Address
First Line	:	2837 W 75TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33018-5314
Country	:	US
Telephone Number	:	305-833-1015
Fax Number	:

Provider Business Practice Location Address
First Line	:	2837 W 75TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33018-5314
Country	:	US
Telephone Number	:	305-833-1015
Fax Number	:

Authorized Official
Title or Position	:	AMBR
Name	:	ALBERTO LEYVA HERNANDEZ
Credential	:
Telephone Number	:	305-833-1015

Provider Enumeration Date	:	11/18/2019
Last Update Date	:	09/10/2024

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Directions to “BILL IN GREEN LLC ” Practice Location

Language	Start Address	Practice Location

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