Individual
DAIYANA MALDONADO PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3503 SW 150TH CT, MIAMI, FL 33185-3969
(786) 291-4571
Mailing address
3503 SW 150TH CT, MIAMI, FL 33185-3969
(786) 291-4571
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
9339423
FL
363LG0600X
Gerontology Nurse Practitioner
9339423
FL
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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