Healthcare Provider Details

I. General information

NPI: 1073282091
Provider Name (Legal Business Name): CLAUDIA MORALES PTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/13/2021
Last Update Date: 05/12/2024
Certification Date: 05/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1261 W 32ND ST
HIALEAH FL
33012-4805
US

IV. Provider business mailing address

1261 W 32ND ST
HIALEAH FL
33012-4805
US

V. Phone/Fax

Practice location:
  • Phone: 786-985-9364
  • Fax:
Mailing address:
  • Phone: 786-985-9364
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberPTA31238
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA101303
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: