Healthcare Provider Details

I. General information

NPI: 1528900214
Provider Name (Legal Business Name): ANNA DALFO I PIBERNAT RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

760 NW 107TH AVE STE 107
MIAMI FL
33172-3155
US

IV. Provider business mailing address

900 WEST AVE
MIAMI BEACH FL
33139-5233
US

V. Phone/Fax

Practice location:
  • Phone: 954-872-0555
  • Fax:
Mailing address:
  • Phone: 786-835-1921
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number9615479
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: