Provider Demographics
NPI:1922490622
Name:PIO, AMISADAY (BA)
Entity Type:Individual
Prefix:MS
First Name:AMISADAY
Middle Name:
Last Name:PIO
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8400 SW 46TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-4107
Mailing Address - Country:US
Mailing Address - Phone:786-717-0600
Mailing Address - Fax:
Practice Address - Street 1:11420 N KENDALL DR STE 112
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-1039
Practice Address - Country:US
Practice Address - Phone:305-279-1999
Practice Address - Fax:305-459-3270
Is Sole Proprietor?:No
Enumeration Date:2015-03-04
Last Update Date:2018-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL019887900Medicaid