Provider Demographics
NPI:1013092204
Name:VOLTAIRE, GASTON PAUL (RN)
Entity Type:Individual
Prefix:
First Name:GASTON
Middle Name:PAUL
Last Name:VOLTAIRE
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8175 NW 12TH ST
Mailing Address - Street 2:SUITE 306 (ATTN. NYDIA AGUERO)
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33126-1828
Mailing Address - Country:US
Mailing Address - Phone:786-845-0164
Mailing Address - Fax:786-845-0176
Practice Address - Street 1:8175 NW 12TH ST
Practice Address - Street 2:SUITE 306 (ATTN. NYDIA AGUERO)
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33126-1828
Practice Address - Country:US
Practice Address - Phone:786-845-0164
Practice Address - Fax:786-845-0176
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2009-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9198537163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1720171895OtherFLORIDA DEPARTMENT OF HEALTH (DBA: MIAMI-DADE COUNTY HEALTH DEPARTMENT NPI
FL312125900Medicaid