Healthcare Provider Details

I. General information

NPI: 1073678090
Provider Name (Legal Business Name): MOREH AND ASSOCIATES, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 E 25TH ST SUITE 311
HIALEAH FL
33013-3825
US

IV. Provider business mailing address

9737 NW 41ST ST #386
DORAL FL
33178-2924
US

V. Phone/Fax

Practice location:
  • Phone: 305-836-5627
  • Fax: 305-835-4453
Mailing address:
  • Phone: 305-836-5627
  • Fax: 305-835-4453

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ISMAEL S MORERA
Title or Position: PRESIDENT
Credential: M.D.
Phone: 305-836-5627