Provider Demographics
NPI:1467988071
Name:BATISTA ALBUERNE, NORGE
Entity Type:Individual
Prefix:
First Name:NORGE
Middle Name:
Last Name:BATISTA ALBUERNE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:460 E 23RD ST APT 519
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33013-3936
Mailing Address - Country:US
Mailing Address - Phone:786-619-4846
Mailing Address - Fax:
Practice Address - Street 1:460 E 23RD ST APT 519
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33013-3936
Practice Address - Country:US
Practice Address - Phone:786-619-4846
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-03
Last Update Date:2017-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician