Provider Demographics
NPI:1508525973
Name:TIRADO CABRERA, ANA CECILIA
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:CECILIA
Last Name:TIRADO CABRERA
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 1:12022 SW 10TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33184-2430
Mailing Address - Country:US
Mailing Address - Phone:786-287-6937
Mailing Address - Fax:
Practice Address - Street 1:12022 SW 10TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33184-2430
Practice Address - Country:US
Practice Address - Phone:786-287-6937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-14
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician