Provider Demographics
NPI:1841799020
Name:PATRON, AYMARA
Entity Type:Individual
Prefix:
First Name:AYMARA
Middle Name:
Last Name:PATRON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:AYMARA
Other - Middle Name:
Other - Last Name:PATRON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10460 SW 42ND TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-4966
Mailing Address - Country:US
Mailing Address - Phone:305-766-5285
Mailing Address - Fax:
Practice Address - Street 1:10460 SW 42ND TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-4966
Practice Address - Country:US
Practice Address - Phone:305-766-5285
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-02
Last Update Date:2018-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9259535163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty