MEDICARE: ANA TACORONTE MORALES

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	106S00000X	Behavior Technician		FL
2	222Q00000X	Developmental Therapist		FL

General Provider Information

NPI Number	:	1659044261
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANA TACORONTE MORALES

Provider Business Mailing Address
First Line	:	8505 NW 3RD LN APT 1005
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-3864
Country	:	US
Telephone Number	:	786-603-4978
Fax Number	:

Provider Business Practice Location Address
First Line	:	7108 SW 103RD PL
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33173-1377
Country	:	US
Telephone Number	:	786-603-4978
Fax Number	:

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

Provider Enumeration Date	:	07/29/2021
Last Update Date	:	05/02/2023

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Directions to “ ANA TACORONTE MORALES ” Practice Location

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