MIGUEL M LIBERA


Address: 11801 Sw 90th St Ste 201, Miami, FL 33186-2182
Phone: 3055951317

MIGUEL M LIBERA (NPI# 1326594755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326594755
Entity Type Individual
Full Name MIGUEL M LIBERA
Credential P.A.
Practice Address 11801 Sw 90th St Ste 201
Miami
FL 33186-2182
Mailing Address 6750 Sw 156th Ct
Miami
FL 33193-2125
Practice Telephone 3055951317
Mailing Telephone 7863030985
Enumeration Date 2016-08-26
Last Update Date 2016-08-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant PAT9109707 FL Physician Assistants & Advanced Practice Nursing Providers
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PAT9109707 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 11801 SW 90TH ST STE 201
City MIAMI
State FL
Zip Code 33186-2182

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1114561768 Jami Ferrare Nurse Practitioner 9862 Sw 118th Ave, Miami, FL 33186 2019-11-06
1659913473 Lissette Blanco Behavior Technician 9120 Sw 143 Ave, Miami, FL 33186 2019-10-14
1548819949 Crystal Domenech Clinic/Center Stars Center for Speech Therapy & Related Services LLC, 12030 Sw 129th Ct #209, Miami, FL 33186 2019-09-09
1780243931 Amore Mental Health Corp. Case Management 14221 Sw 120 Street, Suite 109, Miami, FL 33186 2019-06-11
1639631047 Dynasty Mental Health, Inc Clinic/Center 13590 Sw 134th Ave Ste 203, Miami, FL 33186 2019-04-03
1922575133 University Health Care West Kendall, Inc. Clinic/Center 13611 Sw 131 Street, Miami, FL 33186 2018-10-25
1245705904 Lamberto Hernandez Registered Nurse 12604 Sw 119th Path, Miami, FL 33186 2018-10-09
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346721552 Carlos G Torres Dugarte Physician Assistant 9521 Fontainebleau Blvd Apt 424, Miami, FL 33172-6829 2018-08-25
1639672967 Roberto Rodriguez Milanes Physician Assistant 1629 Nw 14th St Apt 911, Miami, FL 33125-2673 2018-03-13
1003316118 Clelia Isabel Soto De Cayama Physician Assistant 7310 Sw 132nd Ave, Miami, FL 33183-3468 2018-02-15
1174041313 Erin Shay Physician Assistant 9155 S Dadeland Boulevard, Penthouse One, Suite 1708, Miami, FL 33156 2017-09-08
1174055156 Jarvis Viza Physician Assistant 20121 Sw 117th Ave, Miami, FL 33177 2017-03-30
1942658182 Acosta Arnp, Pa. Physician Assistant 7800 Sw 87th Ave Ste A320, Miami, FL 33173-3570 2016-05-27
1417311622 Ivan Lavandera Rodriguez Physician Assistant 7071 Sw 129th Ave, Apt 8, Miami, FL 33183-5299 2016-04-13
1215393848 Andres Vence Nunez Physician Assistant 9040 Sw 125th Ave, Apt D 208, Miami, FL 33186-7103 2016-01-12
1710385430 Guillermo Lazaro Garcia Physician Assistant 13958 Sw 160th Ter, Miami, FL 33177-1906 2014-12-11
1033547856 Francisco A Perez-loreto Physician Assistant 11912 Sw 126th Ln, Miami, FL 33186-5196 2013-10-15
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Competitor

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City MIAMI
Zip Code 33186

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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