Healthcare Provider Details

I. General information

NPI: 1477377653
Provider Name (Legal Business Name): ALINA M PUEBLA MOREJON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/13/2024
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15607 NW 37TH PL
MIAMI GARDENS FL
33054-6349
US

IV. Provider business mailing address

15607 NW 37TH PL
MIAMI GARDENS FL
33054-6349
US

V. Phone/Fax

Practice location:
  • Phone: 305-922-9457
  • Fax:
Mailing address:
  • Phone: 305-922-9457
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: