Provider Demographics
NPI:1487108619
Name:AMEIJEIRAS, TANIA (BA)
Entity type:Individual
Prefix:
First Name:TANIA
Middle Name:
Last Name:AMEIJEIRAS
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1350 SW 57TH AVE
Mailing Address - Street 2:STE 315
Mailing Address - City:WEST MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-5775
Mailing Address - Country:US
Mailing Address - Phone:305-266-5570
Mailing Address - Fax:305-266-5572
Practice Address - Street 1:1350 SW 57TH AVE
Practice Address - Street 2:STE 315
Practice Address - City:WEST MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-5775
Practice Address - Country:US
Practice Address - Phone:305-266-5570
Practice Address - Fax:305-266-5572
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-04
Last Update Date:2016-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator