Healthcare Provider Details

I. General information

NPI: 1356091201
Provider Name (Legal Business Name): ISAAC CHAYO MD, MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2022
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2111 SOLE MIA WAY FL 4
NORTH MIAMI FL
33181-2492
US

IV. Provider business mailing address

2111 SOLE MIA WAY FL 4
NORTH MIAMI FL
33181-2492
US

V. Phone/Fax

Practice location:
  • Phone: 786-392-5108
  • Fax: 786-392-3915
Mailing address:
  • Phone: 786-392-5108
  • Fax: 786-392-3915

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME171101
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: