Healthcare Provider Details

I. General information

NPI: 1376465344
Provider Name (Legal Business Name): SOFIA MORALES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7990 SW 117TH AVE STE 125
MIAMI FL
33183-3845
US

IV. Provider business mailing address

1552 VERACRUZ LN
WESTON FL
33327-1732
US

V. Phone/Fax

Practice location:
  • Phone: 786-681-4137
  • Fax:
Mailing address:
  • Phone: 788-681-4137
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: