Healthcare Provider Details

I. General information

NPI: 1659986131
Provider Name (Legal Business Name): MIDAY DE ARMAS ARTEAGA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/11/2020
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5401 SW 98TH CT
MIAMI FL
33165-7246
US

IV. Provider business mailing address

5401 SW 98TH CT
MIAMI FL
33165-7246
US

V. Phone/Fax

Practice location:
  • Phone: 813-407-6031
  • Fax:
Mailing address:
  • Phone: 813-407-6031
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-20-116410
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberISW23021
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: