Provider Demographics
NPI:1003401746
Name:ALAYETO, MARIA ELENA
Entity type:Individual
Prefix:
First Name:MARIA ELENA
Middle Name:
Last Name:ALAYETO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PRESCRIBEIT RX EAST HIALEAH
Mailing Address - Street 2:2475 E 5TH AVE
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33013
Mailing Address - Country:US
Mailing Address - Phone:305-694-8956
Mailing Address - Fax:305-835-6074
Practice Address - Street 1:PRESCRIBEIT RX EAST HIALEAH
Practice Address - Street 2:2475 E 5TH AVE
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33013
Practice Address - Country:US
Practice Address - Phone:305-694-8956
Practice Address - Fax:305-835-6074
Is Sole Proprietor?:No
Enumeration Date:2021-03-04
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS35382183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPS35382Medicaid