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NPI Code Detail

MEDICARE: ISAURA RAYO

MEDICARE: ISAURA RAYO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LG0600XGerontology Nurse PractitionerARNP9312249FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285129965
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISAURA RAYO
Provider Business Mailing Address
First Line : 8370 W FLAGLER ST STE 226
Second Line :
City : MIAMI
State : FL
Zip : 33144-2040
Country : US
Telephone Number : 305-928-7249
Fax Number : 305-630-3632
Provider Business Practice Location Address
First Line : 5000 W OAKLAND PARK BLVD
Second Line :
City : LAUDERDALE LAKES
State : FL
Zip : 33313-1585
Country : US
Telephone Number : 305-928-7249
Fax Number : 305-630-3632
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2018
Last Update Date : 02/03/2025

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Directions to “ ISAURA RAYO ” Practice Location

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