Provider Demographics
NPI:1366680324
Name:HACHE, RAYSA A (DNP, APRN, B-C)
Entity Type:Individual
Prefix:
First Name:RAYSA
Middle Name:A
Last Name:HACHE
Suffix:
Gender:F
Credentials:DNP, APRN, B-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 NW 57TH AVE STE 150
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-2072
Mailing Address - Country:US
Mailing Address - Phone:305-260-2680
Mailing Address - Fax:305-260-2686
Practice Address - Street 1:701 NW 57TH AVE STE 150
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-2072
Practice Address - Country:US
Practice Address - Phone:305-260-2680
Practice Address - Fax:305-260-2686
Is Sole Proprietor?:No
Enumeration Date:2009-01-29
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9244301363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner