Provider Demographics
NPI:1093318149
Name:ANA MADERAL-COZAD D.D.S., P.A.
Entity Type:Organization
Organization Name:ANA MADERAL-COZAD D.D.S., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANA
Authorized Official - Middle Name:MADERAL
Authorized Official - Last Name:MADERAL-COZAD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:305-827-9148
Mailing Address - Street 1:7725 NW 146TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33016-1559
Mailing Address - Country:US
Mailing Address - Phone:305-827-9148
Mailing Address - Fax:305-558-9118
Practice Address - Street 1:7725 NW 146TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33016-1559
Practice Address - Country:US
Practice Address - Phone:305-827-9148
Practice Address - Fax:305-558-9118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-20
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental