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NPI Code Detail

MEDICARE: BILL IN GREEN LLC

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
1235500000XSpeech/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

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