MEDICARE: GABRIEL E. ALARCON ALEMAN COTA

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
1	224Z00000X	Occupational Therapy Assistant	OTA 10849	FL

General Provider Information

NPI Number	:	1376787713
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GABRIEL E. ALARCON ALEMAN COTA

Provider Business Mailing Address
First Line	:	980 NW 123RD CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33182-2411
Country	:	US
Telephone Number	:	786-942-7985
Fax Number	:

Provider Business Practice Location Address
First Line	:	980 NW 123RD CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33182-2411
Country	:	US
Telephone Number	:	786-942-7985
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/29/2009
Last Update Date	:	01/30/2014

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