Healthcare Provider Details

I. General information

NPI: 1982247003
Provider Name (Legal Business Name): AMAYA VINAS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/21/2019
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2111 SOLE MIA WAY
NORTH MIAMI FL
33181-2492
US

IV. Provider business mailing address

1695 NW 9TH AVE STE 3202
MIAMI FL
33136-1409
US

V. Phone/Fax

Practice location:
  • Phone: 305-243-0214
  • Fax: 305-243-6506
Mailing address:
  • Phone: 305-355-9080
  • Fax: 305-355-7086

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11004687
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11004687
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: