Herles Belaunzaran, OTR/L

Individual provider Active NPI Occupational Therapist · Pinecrest, FL

NPI 1669029393 · NPPES record last updated Aug 19, 2019

Key facts

NPI
1669029393
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OT17359 (FL)
Practice address
6753 N Kendall Dr Apt B216
Pinecrest, FL 33156-1579
Phone
(305) 794-3078
NPI assigned
Aug 19, 2019
Sex
Male
Sole proprietor
Yes

Medicare Care Compare profile

Specialty
Occupational Therapist in Private Practice
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

14336 SW 103Rd Ter
Miami, FL 33186-6973

2655 E Oakland Park Blvd
Suite 5
Fort Lauderdale, FL 33306-1608

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
OT17359FLMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT17359 FL Yes

Addresses

Primary practice location

6753 N Kendall Dr Apt B216
Pinecrest, FL 33156-1579

Mailing address

6753 N Kendall Dr Apt B216
Pinecrest, FL 33156-1579
Phone (305) 794-3078

Other providers in Pinecrest, FL

All providers in Pinecrest, FL · Occupational Therapist in Florida

Sources for this page

Verify at the official NPI Registry.