Provider Demographics
NPI:1518218957
Name:RAYA, ONIDIA (MA)
Entity Type:Individual
Prefix:MRS
First Name:ONIDIA
Middle Name:
Last Name:RAYA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MRS
Other - First Name:ONIDIA
Other - Middle Name:
Other - Last Name:RAYA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA
Mailing Address - Street 1:5892 STIRLING RD
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-1541
Mailing Address - Country:US
Mailing Address - Phone:305-393-7152
Mailing Address - Fax:954-239-0485
Practice Address - Street 1:6001 SW 164TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33193-5703
Practice Address - Country:US
Practice Address - Phone:305-393-7152
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-25
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA38173172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist