Healthcare Provider Details

I. General information

NPI: 1497692230
Provider Name (Legal Business Name): ALIANA GODOY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4225 W 20TH AVE
HIALEAH FL
33012-5835
US

IV. Provider business mailing address

2342 SW 4TH STREET
MIAMI FL
33135-3134
US

V. Phone/Fax

Practice location:
  • Phone: 786-828-7552
  • Fax:
Mailing address:
  • Phone: 954-842-9572
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: