Healthcare Provider Details

I. General information

NPI: 1437392438
Provider Name (Legal Business Name): AMPARO MORILLAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/07/2009
Last Update Date: 04/07/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 NW 12TH AVENUE UNIVERSTIY OF MIAMI/EARLY STEPS PROGRAM
MIAMI FL
33136-1005
US

IV. Provider business mailing address

1601 NW 12TH AVENUE UNIVERSTIY OF MIAMI/EARLY STEPS PROGRAM
MIAMI FL
33136-1005
US

V. Phone/Fax

Practice location:
  • Phone: 305-243-6660
  • Fax:
Mailing address:
  • Phone: 305-243-6660
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number222Q00000X
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: