MEDICARE: DR. NIBALDO PABLO MORALES DMD

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	122300000X	Dentist	DN14901	FL

General Provider Information

NPI Number	:	1679695498
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NIBALDO PABLO MORALES DMD

Provider Business Mailing Address
First Line	:	2645 SW 37TH AVE STE 504
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33133-2744
Country	:	US
Telephone Number	:	305-448-9996
Fax Number	:	305-448-1996

Provider Business Practice Location Address
First Line	:	2645 SW 37TH AVE STE 504
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33133-2744
Country	:	US
Telephone Number	:	305-448-9996
Fax Number	:	305-448-1996

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

Provider Enumeration Date	:	04/04/2007
Last Update Date	:	11/04/2025

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