Provider Demographics
NPI:1316444813
Name:VERDEJA, ALINA SOFIA
Entity type:Individual
Prefix:
First Name:ALINA
Middle Name:SOFIA
Last Name:VERDEJA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5701 SAN VICENTE ST
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-2724
Mailing Address - Country:US
Mailing Address - Phone:786-473-2811
Mailing Address - Fax:
Practice Address - Street 1:5701 SAN VICENTE ST
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-2724
Practice Address - Country:US
Practice Address - Phone:786-473-2811
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-11
Last Update Date:2018-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer