Provider Demographics
NPI:1285197277
Name:MORFA, NURIA LIZ
Entity Type:Individual
Prefix:
First Name:NURIA
Middle Name:LIZ
Last Name:MORFA
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 1:9373 FONTAINEBLEAU BLVD APT K107
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33172-5662
Mailing Address - Country:US
Mailing Address - Phone:786-389-7049
Mailing Address - Fax:
Practice Address - Street 1:9373 FONTAINEBLEAU BLVD APT K107
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33172-5662
Practice Address - Country:US
Practice Address - Phone:786-389-7049
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-08
Last Update Date:2019-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLM614-632-99-809-0OtherIDENTIFICATION NUMBER