Provider Demographics
NPI:1629553656
Name:LAM AYALA, SOLANGEL (ARNP)
Entity Type:Individual
Prefix:
First Name:SOLANGEL
Middle Name:
Last Name:LAM AYALA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:SOLANGEL
Other - Middle Name:
Other - Last Name:LAM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ARNP
Mailing Address - Street 1:105 GRAND CANAL DR APT C
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-2502
Mailing Address - Country:US
Mailing Address - Phone:305-609-3547
Mailing Address - Fax:
Practice Address - Street 1:105 GRAND CANAL DR APT C
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2502
Practice Address - Country:US
Practice Address - Phone:305-609-3547
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-25
Last Update Date:2018-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9306727363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty