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NPI Code Detail

MEDICARE: SARA FERNANDEZ MARRERO

MEDICARE:   SARA  FERNANDEZ MARRERO
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-24-320626FL

General Provider Information

NPI Number : 1972347771
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA FERNANDEZ MARRERO
Provider Business Mailing Address
First Line : 4260 SW 101ST AVE
Second Line :
City : MIAMI
State : FL
Zip : 33165-5053
Country : US
Telephone Number : 786-793-8155
Fax Number :
Provider Business Practice Location Address
First Line : 4260 SW 101ST AVE
Second Line :
City : MIAMI
State : FL
Zip : 33165-5053
Country : US
Telephone Number : 786-793-8155
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2024
Last Update Date : 06/25/2024

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Directions to “ SARA FERNANDEZ MARRERO ” Practice Location

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