Provider Demographics
NPI:1609256700
Name:PAYA, ANABEL (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANABEL
Middle Name:
Last Name:PAYA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2851 W 68TH ST
Mailing Address - Street 2:STE 12
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33018-1799
Mailing Address - Country:US
Mailing Address - Phone:786-502-4467
Mailing Address - Fax:
Practice Address - Street 1:2851 W 68TH ST
Practice Address - Street 2:STE 12
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33018-1799
Practice Address - Country:US
Practice Address - Phone:786-502-4467
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-03
Last Update Date:2017-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND 212211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice