Provider Demographics
NPI:1841683026
Name:NOGUERAS, ALAIN
Entity type:Individual
Prefix:
First Name:ALAIN
Middle Name:
Last Name:NOGUERAS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11020 SW 196TH ST
Mailing Address - Street 2:APT E 102
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-8304
Mailing Address - Country:US
Mailing Address - Phone:239-878-3447
Mailing Address - Fax:
Practice Address - Street 1:11020 SW 196TH ST
Practice Address - Street 2:APT E 102
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-8304
Practice Address - Country:US
Practice Address - Phone:239-878-3447
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-11
Last Update Date:2015-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL583969Medicaid