Healthcare Provider Details

I. General information

NPI: 1518776111
Provider Name (Legal Business Name): DASNIELLIS ZOQUE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/07/2025
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 E 49TH ST
HIALEAH FL
33013-1856
US

IV. Provider business mailing address

301 E 49TH ST
HIALEAH FL
33013-1856
US

V. Phone/Fax

Practice location:
  • Phone: 786-536-1701
  • Fax: 305-847-2447
Mailing address:
  • Phone: 786-536-1701
  • Fax: 305-847-2447

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11036810
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11036810
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: