Healthcare Provider Details

I. General information

NPI: 1528883121
Provider Name (Legal Business Name): DAYLENIS MAQUEIRA REY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/19/2024
Last Update Date: 11/25/2024
Certification Date: 11/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2898 NW 79TH AVE
MIAMI FL
33122-1033
US

IV. Provider business mailing address

13454 SW 62ND ST APT O108
MIAMI FL
33183-5059
US

V. Phone/Fax

Practice location:
  • Phone: 305-363-2969
  • Fax:
Mailing address:
  • Phone: 786-633-7736
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: