Healthcare Provider Details

I. General information

NPI: 1679975577
Provider Name (Legal Business Name): ALAIDE B MILANES CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/23/2014
Last Update Date: 04/27/2025
Certification Date: 04/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4363 SW 153RD PL
MIAMI FL
33185-5249
US

IV. Provider business mailing address

4363 SW 153RD PL
MIAMI FL
33185-5249
US

V. Phone/Fax

Practice location:
  • Phone: 786-499-0043
  • Fax:
Mailing address:
  • Phone: 786-499-0043
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPRN9284959
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: