Provider Demographics
NPI:1265805378
Name:BAPTISTE, JAVIER MOISES (TT)
Entity type:Individual
Prefix:
First Name:JAVIER
Middle Name:MOISES
Last Name:BAPTISTE
Suffix:
Gender:M
Credentials:TT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3817 NW 17TH AVE
Mailing Address - Street 2:APARTMENT 8A
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33142-4845
Mailing Address - Country:US
Mailing Address - Phone:378-362-9687
Mailing Address - Fax:305-248-1009
Practice Address - Street 1:3817 NW 17TH AVE
Practice Address - Street 2:APARTMENT 8A
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33142-4845
Practice Address - Country:US
Practice Address - Phone:378-362-9687
Practice Address - Fax:305-248-1009
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-11
Last Update Date:2015-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTT 16067227800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified