Provider Demographics
NPI:1114469509
Name:BELOQUI, ASHEL
Entity Type:Individual
Prefix:
First Name:ASHEL
Middle Name:
Last Name:BELOQUI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 NE 135TH ST
Mailing Address - Street 2:APT 1204
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33181-3591
Mailing Address - Country:US
Mailing Address - Phone:305-965-0426
Mailing Address - Fax:
Practice Address - Street 1:2500 NE 135TH ST
Practice Address - Street 2:APT 1204
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33181-3591
Practice Address - Country:US
Practice Address - Phone:305-965-0426
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-16
Last Update Date:2016-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPTA27139225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant