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NPI Code Detail

MEDICARE: AMELIA SARDINAS FIDALGO

MEDICARE:   AMELIA  SARDINAS FIDALGO
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 Technician

General Provider Information

NPI Number : 1962214262
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMELIA SARDINAS FIDALGO
Provider Business Mailing Address
First Line : 4854 W FLAGLER ST APT B
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-1471
Country : US
Telephone Number : 786-205-8667
Fax Number :
Provider Business Practice Location Address
First Line : 4854 W FLAGLER ST APT B
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-1471
Country : US
Telephone Number : 786-205-8667
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2025
Last Update Date : 01/23/2025

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Directions to “ AMELIA SARDINAS FIDALGO ” Practice Location

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