Provider Demographics
NPI:1326598657
Name:ADRIANA TAFUR SERVICES INC
Entity Type:Organization
Organization Name:ADRIANA TAFUR SERVICES INC
Other - Org Name:A.T. SERVICES INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADRIANA
Authorized Official - Middle Name:DEL PILAR
Authorized Official - Last Name:TILLEY
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:305-949-6461
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:305-945-8054
Practice Address - Street 1:31 N KROME AVE
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33030-6014
Practice Address - Country:US
Practice Address - Phone:786-339-8871
Practice Address - Fax:786-339-9852
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-11
Last Update Date:2016-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL891648901Medicaid