Provider Demographics
NPI:1417608332
Name:RUBIO CLAVIJO, DANAY (FNP)
Entity Type:Individual
Prefix:
First Name:DANAY
Middle Name:
Last Name:RUBIO CLAVIJO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8842 W FLAGLER ST APT 205
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-3919
Mailing Address - Country:US
Mailing Address - Phone:305-993-8818
Mailing Address - Fax:
Practice Address - Street 1:5803 NW 151ST ST STE 301-307
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2495
Practice Address - Country:US
Practice Address - Phone:786-422-7374
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-12
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11017437363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily