MEDICARE: MARIA BALLADARES

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	171100000X	Acupuncturist	4244	FL

General Provider Information

NPI Number	:	1942927603
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA BALLADARES

Provider Business Mailing Address
First Line	:	11530 SW 6TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33174-3702
Country	:	US
Telephone Number	:	305-975-1554
Fax Number	:

Provider Business Practice Location Address
First Line	:	9999 NE 2ND AVE STE 313
Second Line	:
City	:	MIAMI SHORES
State	:	FL
Zip	:	33138-2346
Country	:	US
Telephone Number	:	305-771-2115
Fax Number	:

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

Provider Enumeration Date	:	10/24/2022
Last Update Date	:	10/24/2022

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Directions to “ MARIA BALLADARES ” Practice Location

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