MEDICARE: DR. VALERIA MORALES M.D.

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
1	207Q00000X	Family Medicine Physician	ME100279	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245352491
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VALERIA MORALES M.D.

Provider Business Mailing Address
First Line	:	8600 NW 41 STREET
Second Line	:
City	:	DORAL
State	:	FL
Zip	:	33166
Country	:	US
Telephone Number	:	305-642-5366
Fax Number	:

Provider Business Practice Location Address
First Line	:	12515 SW 88TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33186-1829
Country	:	US
Telephone Number	:	305-642-5366
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2007
Last Update Date	:	08/10/2017

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