Healthcare Provider Details

I. General information

NPI: 1568287985
Provider Name (Legal Business Name): DIANISLEIDY MOYA OCANA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/20/2024
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8040 NW 95TH ST STE 337
HIALEAH GARDENS FL
33016-2361
US

IV. Provider business mailing address

13365 NW 8TH TER
MIAMI FL
33182-2202
US

V. Phone/Fax

Practice location:
  • Phone: 954-793-0775
  • Fax:
Mailing address:
  • Phone: 305-878-3374
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-21-156592
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: