Healthcare Provider Details

I. General information

NPI: 1255831723
Provider Name (Legal Business Name): AIMARA MORALES ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2018
Last Update Date: 07/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 NW 14TH ST
MIAMI FL
33136
US

IV. Provider business mailing address

22008 SW 103RD AVE
CUTLER BAY FL
33190-1149
US

V. Phone/Fax

Practice location:
  • Phone: 305-243-1960
  • Fax:
Mailing address:
  • Phone: 786-399-5745
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number9391388
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number9391388
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number9391388
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: