Provider Demographics
NPI:1639943210
Name:MACEDA, CLAUDIA BARBARA (MEDICAL DATA ENTRY)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:BARBARA
Last Name:MACEDA
Suffix:
Gender:F
Credentials:MEDICAL DATA ENTRY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13947 SW 259TH WAY
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032-6775
Mailing Address - Country:US
Mailing Address - Phone:786-760-7487
Mailing Address - Fax:
Practice Address - Street 1:24 E 5TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33010-4883
Practice Address - Country:US
Practice Address - Phone:305-209-2476
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-14
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL246Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherGroup - Single Specialty