Alfredo Talay Ulloa, LMT

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

MA 61706 Issued in FL

Practice address

2445 SW 18 TH Terr
Apt 109
Ft Lauderdale, FL 33315-2236

Phone

(786) 356-7208

NPI assigned

Sep 26, 2012

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Prof. Alfredo Talay Ulloa Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348617600000",
    "number": "1851642185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 SW 18TH TER APT 109",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333152236",
            "telephone_number": "786-356-7208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 SW 18 TH TERR",
            "address_2": "APT 109",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333152236",
            "telephone_number": "786-356-7208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULLOA",
        "first_name": "ALFREDO",
        "middle_name": "TALAY",
        "name_prefix": "Prof.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-26",
        "last_updated": "2012-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "FL",
            "license": "MA 61706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALFREDO",
            "last_name": "ULLOA",
            "middle_name": "TALAY",
            "prefix": "PROF.",
            "credential": "LMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Community Health Worker in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Community Health Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.