Healthcare Provider Details

I. General information

NPI: 1619437175
Provider Name (Legal Business Name): DEANNYS BATISTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2019
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2140 W 68TH ST STE 300
HIALEAH FL
33016-1815
US

IV. Provider business mailing address

2140 W 68TH ST STE 300
HIALEAH FL
33016-1815
US

V. Phone/Fax

Practice location:
  • Phone: 305-822-4107
  • Fax:
Mailing address:
  • Phone: 305-822-4107
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number162586
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberME162586
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: