Provider Demographics
NPI:1780214643
Name:AMESTOY NP PROFESSIONAL CORP
Entity Type:Organization
Organization Name:AMESTOY NP PROFESSIONAL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICAL
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:AMESTOY
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:786-493-3225
Mailing Address - Street 1:15535 SW 57TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193-2513
Mailing Address - Country:US
Mailing Address - Phone:786-493-3225
Mailing Address - Fax:
Practice Address - Street 1:15535 SW 57TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33193-2513
Practice Address - Country:US
Practice Address - Phone:786-493-3225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-20
Last Update Date:2020-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAPRN9364243OtherAPRN