Provider Demographics
NPI:1275070757
Name:ADRIANA TAFUR SERVICES
Entity Type:Organization
Organization Name:ADRIANA TAFUR SERVICES
Other - Org Name:AT SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADRIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:TILLEY
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:786-339-8871
Mailing Address - Street 1:2020 NE 163RD ST
Mailing Address - Street 2:SUITE 207
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162-4927
Mailing Address - Country:US
Mailing Address - Phone:305-949-6461
Mailing Address - Fax:
Practice Address - Street 1:29270 SW 159TH CT
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33033-2325
Practice Address - Country:US
Practice Address - Phone:786-339-8871
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-23
Last Update Date:2017-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty