Individual
LORENA ALIAGA DEZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
13734 SW 56TH ST, MIAMI, FL 33175-6020
(305) 387-7211
(305) 382-2708
Mailing address
900 S PINE ISLAND RD STE 800, PLANTATION, FL 33324-3923
(305) 387-7211
(305) 382-2708
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME149906
FL
208000000X
Pediatrics Physician
Q3473
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111348900
—
FL
Enumeration date
06/16/2012
Last updated
10/26/2021
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