Provider Demographics
NPI:1235546706
Name:DAVILA, ALYERI
Entity Type:Individual
Prefix:
First Name:ALYERI
Middle Name:
Last Name:DAVILA
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 1:221 SW 64TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-3149
Mailing Address - Country:US
Mailing Address - Phone:786-760-4274
Mailing Address - Fax:786-460-8400
Practice Address - Street 1:221 SW 64TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-3149
Practice Address - Country:US
Practice Address - Phone:786-760-4274
Practice Address - Fax:786-460-8400
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-16
Last Update Date:2022-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOTA12475224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant