Provider Demographics
NPI:1265498547
Name:MOREIRA, GLORIA PILAR (AP)
Entity Type:Individual
Prefix:
First Name:GLORIA
Middle Name:PILAR
Last Name:MOREIRA
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:GLORIA
Other - Middle Name:MOREIRA
Other - Last Name:RABELER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AP
Mailing Address - Street 1:6301 SW 72ND STREET
Mailing Address - Street 2:SUITE C - SECOND FLOOR
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-4898
Mailing Address - Country:US
Mailing Address - Phone:786-306-8009
Mailing Address - Fax:
Practice Address - Street 1:6301 SW 72ND ST
Practice Address - Street 2:SUITE C
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-4898
Practice Address - Country:US
Practice Address - Phone:786-306-8009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2008-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2164171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist