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NPI Code Detail

MEDICARE: ANA LUNA ESPAILLAT

MEDICARE:   ANA  LUNA ESPAILLAT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TF0000XFamily Psychologist

General Provider Information

NPI Number : 1144991126
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANA LUNA ESPAILLAT
Provider Business Mailing Address
First Line : 1100 COLONY POINT CIR # 419B3
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33026-2939
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3219 W 4TH AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33012-5308
Country : US
Telephone Number : 305-261-6633
Fax Number : 305-261-6680
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2021
Last Update Date : 09/21/2021

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Directions to “ ANA LUNA ESPAILLAT ” Practice Location

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