Healthcare Provider Details

I. General information

NPI: 1184212508
Provider Name (Legal Business Name): AYMEE MARTI-PARRA APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/03/2021
Last Update Date: 01/03/2021
Certification Date: 01/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7100 W 20TH AVE STE 701
HIALEAH FL
33016-1824
US

IV. Provider business mailing address

7663 W 36TH AVE APT 3
HIALEAH GARDENS FL
33018-1695
US

V. Phone/Fax

Practice location:
  • Phone: 305-569-9770
  • Fax:
Mailing address:
  • Phone: 786-457-0188
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAPRN11009602
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: