Provider Demographics
NPI:1386475648
Name:MORERA, RACHEL ANABELLA
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:ANABELLA
Last Name:MORERA
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 1:8253 NW 47TH LN
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-5682
Mailing Address - Country:US
Mailing Address - Phone:786-271-7604
Mailing Address - Fax:
Practice Address - Street 1:8253 NW 47TH LN
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-5682
Practice Address - Country:US
Practice Address - Phone:786-271-7604
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-09
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician