Aliaga Deza, Lorena

Aliaga Deza, Lorena is an individual health care provider with primary practice located at 13734 Sw 56Th St , Miami FL 33175-6020. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Aliaga Deza, Lorena can be contacted via phone (305) 387-7211.

Contact Information

Primary practice address
13734 Sw 56Th St Miami FL 33175-6020
Fax: (305) 382-2708
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X Q3473 Texas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME149906 Florida

Profile Details

NPI number 1679836555
LBN Legal business name Aliaga Deza, Lorena
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2012
Last updated Oct 26th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679836555 NPPES
Florida MEDICAID 111348900

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