Provider Demographics
NPI:1821578964
Name:MOYA, AMALIA O (MA)
Entity Type:Individual
Prefix:
First Name:AMALIA
Middle Name:O
Last Name:MOYA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8328 SW 40TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-3337
Mailing Address - Country:US
Mailing Address - Phone:305-595-2053
Mailing Address - Fax:305-595-0752
Practice Address - Street 1:8328 SW 40TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-3337
Practice Address - Country:US
Practice Address - Phone:305-595-2053
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-17
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist