Provider Demographics
NPI:1841804127
Name:GOLDMAN, NATALIA ALPERINA
Entity Type:Individual
Prefix:
First Name:NATALIA
Middle Name:ALPERINA
Last Name:GOLDMAN
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 1:2841 NE 163RD ST APT 1015
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-4443
Mailing Address - Country:US
Mailing Address - Phone:666-343-6662
Mailing Address - Fax:
Practice Address - Street 1:2841 NE 163RD ST APT 1015
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33160-4443
Practice Address - Country:US
Practice Address - Phone:305-436-6623
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-03
Last Update Date:2020-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL45051225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist