Provider Demographics
NPI:1346753647
Name:DOMINGUEZ ARMENTEROS, DAYSI
Entity Type:Individual
Prefix:
First Name:DAYSI
Middle Name:
Last Name:DOMINGUEZ ARMENTEROS
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 1:11201 SW 55TH ST UNIT 456
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-3113
Mailing Address - Country:US
Mailing Address - Phone:786-419-1068
Mailing Address - Fax:
Practice Address - Street 1:11201 SW 55TH ST UNIT 456
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33025-3113
Practice Address - Country:US
Practice Address - Phone:786-419-1068
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-08
Last Update Date:2017-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician