Individual provider · NPI-1
Roberto Mesa, RBT
Technician/Technologist · Hialeah Gardens, FL
NPI number1962063958
StatusActive
Last updated in NPPESJun 21, 2019
Details
- NPI
- 1962063958
- Entity type
- Individual (NPI-1)
- Name
- Roberto Mesa
- Credential
- RBT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 21, 2019
- Last updated
- Jun 21, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156F00000X | Technician/Technologist | – | – | Yes |
Practice location
9923 W Okeechobee Rd Apt 519aHialeah Gardens, FL 33016-2154
Phone 305-542-9212
Mailing address
9923 W Okeechobee Rd Apt 519aHialeah Gardens, FL 33016-2154
Phone 305-542-9212
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