Provider Demographics
NPI:1134628647
Name:TIRADO, ANA M (RN)
Entity type:Individual
Prefix:MRS
First Name:ANA
Middle Name:M
Last Name:TIRADO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:ANA
Other - Middle Name:M
Other - Last Name:FLORES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:9374 SW 173RD TER
Mailing Address - Street 2:
Mailing Address - City:PALMETTO BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-5724
Mailing Address - Country:US
Mailing Address - Phone:305-343-0621
Mailing Address - Fax:
Practice Address - Street 1:9374 SW 173RD TER
Practice Address - Street 2:
Practice Address - City:PALMETTO BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-5724
Practice Address - Country:US
Practice Address - Phone:305-343-0621
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-09
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY589140163W00000X
FLRN9183206163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse