Healthcare Provider Details

I. General information

NPI: 1265360259
Provider Name (Legal Business Name): MILEIDYS TAPANES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6680 W 2ND CT APT 201
HIALEAH FL
33012-6746
US

IV. Provider business mailing address

6680 W 201
HIALEA FL
33012
US

V. Phone/Fax

Practice location:
  • Phone: 305-216-1001
  • Fax:
Mailing address:
  • Phone: 305-216-1001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: