Healthcare Provider Details

I. General information

NPI: 1447675335
Provider Name (Legal Business Name): MAIKEL D ALPIZAR MORALES APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/28/2014
Last Update Date: 03/03/2021
Certification Date: 03/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9220 SW 72ND ST STE 206
MIAMI FL
33173-3259
US

IV. Provider business mailing address

11160 SW 225TH TER
MIAMI FL
33170-6593
US

V. Phone/Fax

Practice location:
  • Phone: 786-563-1550
  • Fax: 786-563-1551
Mailing address:
  • Phone: 786-479-2232
  • Fax: 786-563-1550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN10111920
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: