Healthcare Provider Details

I. General information

NPI: 1568767572
Provider Name (Legal Business Name): JENNIFER ARAYA D.M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2011
Last Update Date: 10/17/2022
Certification Date: 10/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 BAILEY LN STE 130
NAPLES FL
34105-8525
US

IV. Provider business mailing address

2524 NW 104TH AVE APT 109
SUNRISE FL
33322-6333
US

V. Phone/Fax

Practice location:
  • Phone: 305-256-1303
  • Fax:
Mailing address:
  • Phone: 954-663-3930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN 19226
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: