Provider Demographics
NPI:1538802657
Name:DIAZ ALAMEDA, YAIMARA (APRN)
Entity type:Individual
Prefix:
First Name:YAIMARA
Middle Name:
Last Name:DIAZ ALAMEDA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6265 SW 129TH PL APT 2305
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-5249
Mailing Address - Country:US
Mailing Address - Phone:786-800-8084
Mailing Address - Fax:
Practice Address - Street 1:6265 SW 129TH PL APT 2305
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-5249
Practice Address - Country:US
Practice Address - Phone:786-800-8084
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-16
Last Update Date:2022-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11019133363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily