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Leticia Danielle Resendiz-Moreno

Technician, Other in Stuart, FL. Individual provider (NPI-1).

NPI number1235653239
StatusActive
Last updated in NPPESAug 1, 2017

Details

NPI
1235653239
Entity type
Individual (NPI-1)
Name
Leticia Danielle Resendiz-Moreno
Sex
Female
Sole proprietor
No
Enumeration date
Aug 1, 2017
Last updated
Aug 1, 2017

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
247200000X Technician, Other––Yes

Practice location

4574 S.E Dixie Highway
Stuart, FL 34997

Phone 855-832-6727

Mailing address

4575 Se Dixie Hwy
Stuart, FL 34997-6826

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Other Technician providers in Stuart, FL

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