Healthcare Provider Details

I. General information

NPI: 1649188822
Provider Name (Legal Business Name): MS. NATALIA TABARES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 SW 57TH AVE STE I
MIAMI FL
33144-3969
US

IV. Provider business mailing address

9820 SW 163RD ST
MIAMI FL
33157-3324
US

V. Phone/Fax

Practice location:
  • Phone: 305-850-2918
  • Fax: 305-985-8194
Mailing address:
  • Phone: 305-850-2918
  • Fax: 305-985-8194

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: