Healthcare Provider Details

I. General information

NPI: 1346772852
Provider Name (Legal Business Name): DAYANA HURTADO CALANA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2017
Last Update Date: 06/19/2025
Certification Date: 06/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2831 NW 173RD TER
MIAMI GARDENS FL
33056-4062
US

IV. Provider business mailing address

2831 NW 173RD TER
MIAMI GARDENS FL
33056-4062
US

V. Phone/Fax

Practice location:
  • Phone: 954-628-2418
  • Fax:
Mailing address:
  • Phone: 954-628-2418
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number17886
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-23-69043
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: