Healthcare Provider Details

I. General information

NPI: 1538953591
Provider Name (Legal Business Name): GIANNINA GAYOSO APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2025
Last Update Date: 04/07/2025
Certification Date: 04/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 SW 69TH AVE
MIAMI FL
33155-2919
US

IV. Provider business mailing address

13426 SW 14TH LN
MIAMI FL
33184-1800
US

V. Phone/Fax

Practice location:
  • Phone: 305-265-4441
  • Fax:
Mailing address:
  • Phone: 786-332-0397
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number11038620
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: