Healthcare Provider Details

I. General information

NPI: 1093370447
Provider Name (Legal Business Name): ANA SARAI LLANES TORNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2019
Last Update Date: 05/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8040 NW 155TH ST
MIAMI LAKES FL
33016-5880
US

IV. Provider business mailing address

5583 NW 193RD LN
MIAMI GARDENS FL
33055-6100
US

V. Phone/Fax

Practice location:
  • Phone: 786-713-1578
  • Fax:
Mailing address:
  • Phone: 786-663-2985
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: