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NPI Code Detail

MEDICARE: VICTORIA MARIE IGLESIAS

MEDICARE: VICTORIA MARIE IGLESIAS
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
1106S00000XBehavior TechnicianRBT-23-2613290000000FL

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 : 1962184382
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA MARIE IGLESIAS
Provider Business Mailing Address
First Line : 1507 NW 159TH LN
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33028-1698
Country : US
Telephone Number : 786-566-6880
Fax Number :
Provider Business Practice Location Address
First Line : 1507 NW 159TH LN
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33028-1698
Country : US
Telephone Number : 786-566-6880
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2023
Last Update Date : 08/04/2023

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Directions to “ VICTORIA MARIE IGLESIAS ” Practice Location

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