Provider Demographics
NPI:1730644428
Name:ARIZA, KATIA (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:KATIA
Middle Name:
Last Name:ARIZA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11401 SW 40TH ST STE 401
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-3340
Mailing Address - Country:US
Mailing Address - Phone:305-485-9558
Mailing Address - Fax:305-551-6696
Practice Address - Street 1:11401 SW 40TH ST STE 270
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-3348
Practice Address - Country:US
Practice Address - Phone:305-485-9558
Practice Address - Fax:305-551-6696
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-06
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9176879363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner