Healthcare Provider Details
I. General information
NPI: 1053656736
Provider Name (Legal Business Name): MARBELYS AGUIAR ALMEIDA R.R.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 12/06/2012
Last Update Date: 12/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9930 NW 26TH ST
DORAL FL
33172-1347
US
IV. Provider business mailing address
9930 NW 26TH ST
DORAL FL
33172-1347
US
V. Phone/Fax
- Phone: 305-746-9393
- Fax: 786-353-2072
- Phone: 305-746-9393
- Fax: 786-353-2072
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2279H0200X |
| Taxonomy | Home Health Registered Respiratory Therapist |
| License Number | RT11927 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: