MEDICARE: ALTAGRACIA VERGEZ

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	104100000X	Social Worker	FL
2	106S00000X	Behavior Technician	FL
3	104100000X	Social Worker

General Provider Information

NPI Number	:	1477800639
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALTAGRACIA VERGEZ

Provider Business Mailing Address
First Line	:	18313 SW 153RD PL
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33187-6215
Country	:	US
Telephone Number	:	786-436-2927
Fax Number	:

Provider Business Practice Location Address
First Line	:	18313 SW 153RD PL
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33187-6215
Country	:	US
Telephone Number	:	786-436-2927
Fax Number	:

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

Provider Enumeration Date	:	08/07/2012
Last Update Date	:	12/08/2021

Similar Medicare Providers

1588558423 — ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC
Practice Location Address:

701 NW 27TH AVE
MIAMI, FL
33125-3012

Practice Phone: 786-744-1900
Practice Fax: 305-760-4141

1639033699 — RACIEL RODRIGUEZ
Practice Location Address:

15801 NW 52ND AVE APT 307
MIAMI LAKES, FL
33014-6215

Practice Phone: 786-901-4462
Practice Fax:

1407716467 — SUSETTE DIAZ ARNP
Practice Location Address:

6215 SW KENDALE LAKES CIR APT 271
MIAMI, FL
33183-1951

Practice Phone: 786-237-6969
Practice Fax:

1801218078 — EXCEPTIONAL MINDS CHILD & ADOLESCENTS THERAPEUTIC SERVICES INC
Practice Location Address:

667 N BISCAYNE RIVER DR
MIAMI, FL
33169-6215

Practice Phone: 305-423-7140
Practice Fax:

1114797081 — ETERNITY THERAPEUTICS CORP
Practice Location Address:

6215 SW 59TH ST
SOUTH MIAMI, FL
33143-2105

Practice Phone: 305-799-9344
Practice Fax:

1174363063 — REBECCA ANN WANG
Practice Location Address:

3547 LOQUAT AVE
MIAMI, FL
33133-6215

Practice Phone: 786-960-8311
Practice Fax:

Directions to “ ALTAGRACIA VERGEZ ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.