Provider Demographics
NPI:1730528480
Name:SAINT CYR, MASSIANO (PMHNP)
Entity type:Individual
Prefix:
First Name:MASSIANO
Middle Name:
Last Name:SAINT CYR
Suffix:
Gender:M
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21215 NW 14TH PL APT 326
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33169-7450
Mailing Address - Country:US
Mailing Address - Phone:508-345-3584
Mailing Address - Fax:
Practice Address - Street 1:21215 NW 14TH PL APT 326
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33169-7450
Practice Address - Country:US
Practice Address - Phone:508-345-3584
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-17
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRT12124227800000X
FLAPRN11029006363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified