Provider Demographics
NPI:1982595195
Name:ALGARIN, IDALISS LYDIANY
Entity type:Individual
Prefix:
First Name:IDALISS
Middle Name:LYDIANY
Last Name:ALGARIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4438 W TRILBY AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33616-1020
Mailing Address - Country:US
Mailing Address - Phone:656-224-1296
Mailing Address - Fax:
Practice Address - Street 1:4438 W TRILBY AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33616-1020
Practice Address - Country:US
Practice Address - Phone:656-224-1296
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-14
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL232910858Z374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide