Healthcare Provider Details

I. General information

NPI: 1811730500
Provider Name (Legal Business Name): AYLED CARRENO TORANZO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2024
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9798 SW 24TH ST
MIAMI FL
33165-7574
US

IV. Provider business mailing address

9798 SW 24TH ST
MIAMI FL
33165-7574
US

V. Phone/Fax

Practice location:
  • Phone: 305-220-3826
  • Fax:
Mailing address:
  • Phone: 305-220-3826
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11033281
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: