Provider Demographics
NPI:1609471788
Name:CANIZARES, DAINERYS
Entity Type:Individual
Prefix:DR
First Name:DAINERYS
Middle Name:
Last Name:CANIZARES
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 1:225 NE 23RD ST APT 304
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33137-4033
Mailing Address - Country:US
Mailing Address - Phone:855-227-5005
Mailing Address - Fax:866-822-6668
Practice Address - Street 1:225 NE 23RD ST APT 304
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137-4033
Practice Address - Country:US
Practice Address - Phone:855-227-5005
Practice Address - Fax:866-822-6668
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-04
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK37627207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine