Provider Demographics
NPI:1114382702
Name:ANISLEY ALEJO TORRES
Entity Type:Organization
Organization Name:ANISLEY ALEJO TORRES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ANISLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEJO TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:786-370-3008
Mailing Address - Street 1:14959 SW 23RD LN
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33185-5881
Mailing Address - Country:US
Mailing Address - Phone:786-370-3008
Mailing Address - Fax:
Practice Address - Street 1:14959 SW 23RD LN
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33185-5881
Practice Address - Country:US
Practice Address - Phone:786-370-3008
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-23
Last Update Date:2015-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT17433261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLOT 17433OtherOCCUPATIONAL THERAPIST LICENSE