Provider Demographics
NPI:1720740392
Name:LANDA MORALES, ALEJANDRO DANIEL (APRN)
Entity Type:Individual
Prefix:DR
First Name:ALEJANDRO
Middle Name:DANIEL
Last Name:LANDA MORALES
Suffix:
Gender:M
Credentials:APRN
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Mailing Address - Street 1:7400 W 20TH AVE APT 421
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-1851
Mailing Address - Country:US
Mailing Address - Phone:786-443-1266
Mailing Address - Fax:877-221-8306
Practice Address - Street 1:7150 W 20TH AVE STE 806
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-5529
Practice Address - Country:US
Practice Address - Phone:305-400-8600
Practice Address - Fax:877-221-8306
Is Sole Proprietor?:No
Enumeration Date:2021-10-11
Last Update Date:2021-10-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL11015864363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily