Provider Demographics
NPI:1073716643
Name:PLAZA, AYME DE LA CARIDAD (CNA)
Entity Type:Individual
Prefix:MS
First Name:AYME
Middle Name:DE LA CARIDAD
Last Name:PLAZA
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:242 SW 78TH PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-2339
Mailing Address - Country:US
Mailing Address - Phone:305-323-2211
Mailing Address - Fax:
Practice Address - Street 1:242 SW 78TH PL
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2339
Practice Address - Country:US
Practice Address - Phone:305-323-2211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL30486374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide