Provider Demographics
NPI:1942080890
Name:AGUIRREGAVIRIA, DAYANA (APRN)
Entity Type:Individual
Prefix:
First Name:DAYANA
Middle Name:
Last Name:AGUIRREGAVIRIA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14210 SW 16TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-8019
Mailing Address - Country:US
Mailing Address - Phone:305-539-8799
Mailing Address - Fax:
Practice Address - Street 1:8660 W FLAGLER ST STE 121
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2035
Practice Address - Country:US
Practice Address - Phone:305-539-8799
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-28
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11027532163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice