MEDICARE: MR. MIGUEL ALEJANDRO LORENZO SR.

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	246ZC0007X	Surgical Assistant	23-546	FL
2	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1881471019
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MIGUEL ALEJANDRO LORENZO SR.

Provider Business Mailing Address
First Line	:	426 E 62ND ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33013-1143
Country	:	US
Telephone Number	:	786-890-7736
Fax Number	:

Provider Business Practice Location Address
First Line	:	426 E 62ND ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33013-1143
Country	:	US
Telephone Number	:	786-890-7742
Fax Number	:

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

Provider Enumeration Date	:	09/11/2023
Last Update Date	:	01/14/2026

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