Mibsam Lissette Herrera in North Miami - Physical Therapy Assistant

Mibsam Lissette Herrera - NPI 1033306964

Mibsam Lissette Herrera is a Physical Therapy Assistant in North Miami, Florida. Mibsam Lissette Herrera practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Mibsam Lissette Herrera is 1033306964. The last update date is 2008-07-23.

Mibsam Lissette Herrera's current location address is 1811 Ne 146th St, North Miami, Florida. You can contact this provider via phone number 3059494191 and fax number 3059494833. The mailing address for Mibsam Lissette Herrera is 1811 Ne 146th St, North Miami, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Mibsam Lissette Herrera
Address 1811 Ne 146th St, North Miami, Florida
Phone Number 3059494191
Fax Number 3059494833
Sole Proprietor Y
Credentials PTA

NPI Number Detail

NPI Number 1033306964
Provider Enumeration Date 2007-09-25
Last Updated Date 2008-07-23

Provider Mailing Address Detail

Address 1811 Ne 146th St
City North Miami
State Florida (FL)
Post Code 331811423
Phone Number 3059494191
Fax Number 3059494833

Provider's Primary Taxonomy Detail

Speciality Physical Therapy Assistant
Taxonomy 225200000X
Licence No PTA1491
Definition:
(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
Y902J FL BLUE CROSS BLUE SHIELD

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FAQs about Mibsam Lissette Herrera

What is the unique 10-digit identifier code assigned to Mibsam Lissette Herrera by the Centers for Medicare & Medicaid Services?

The Mibsam Lissette Herrera has been issued the NPI (National Provider Identifier) 1033306964 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Mibsam Lissette Herrera's facilities are geographically located?

The facilities of Mibsam Lissette Herrera are physically situated at the following location: 1811 Ne 146Th St, North Miami, FL, 331811423.

What is the area of specialization for Mibsam Lissette Herrera, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Mibsam Lissette Herrera is Physical Therapy Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 225200000X.

On what date did Mibsam Lissette Herrera receive its 1033306964 assignment from the Centers for Medicare & Medicaid Services?

The Mibsam Lissette Herrera was assigned its 1033306964 on 2007-09-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Mibsam Lissette Herrera's information last updated?

The Mibsam Lissette Herrera's information was last updated on 2008-07-23.

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