Provider Demographics
NPI:1235366956
Name:LAVANDERA, NAYVI
Entity Type:Individual
Prefix:
First Name:NAYVI
Middle Name:
Last Name:LAVANDERA
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 1:11217 NW 7TH ST
Mailing Address - Street 2:APT 1
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33172-3597
Mailing Address - Country:US
Mailing Address - Phone:786-536-9714
Mailing Address - Fax:786-536-9833
Practice Address - Street 1:11217 NW 7TH ST
Practice Address - Street 2:APT 1
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33172-3597
Practice Address - Country:US
Practice Address - Phone:786-536-9714
Practice Address - Fax:786-536-9833
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-20
Last Update Date:2015-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist