Provider Demographics
NPI:1477178176
Name:LOSADA, ANIET
Entity Type:Individual
Prefix:
First Name:ANIET
Middle Name:
Last Name:LOSADA
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 1:7751 W 28TH AVE UNIT 11
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-5113
Mailing Address - Country:US
Mailing Address - Phone:305-608-5167
Mailing Address - Fax:305-437-8067
Practice Address - Street 1:7751 W 28TH AVE UNIT 11
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-5113
Practice Address - Country:US
Practice Address - Phone:305-608-5167
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-09
Last Update Date:2020-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL236777372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty