Provider Demographics
NPI:1144078916
Name:MORADO, ILIANA MELISSA (AUD)
Entity type:Individual
Prefix:
First Name:ILIANA
Middle Name:MELISSA
Last Name:MORADO
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1808 E 4TH ST
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-7823
Mailing Address - Country:US
Mailing Address - Phone:956-777-9489
Mailing Address - Fax:
Practice Address - Street 1:200 S 10TH ST STE 500
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-4870
Practice Address - Country:US
Practice Address - Phone:866-933-8387
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-08
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist