Provider Demographics
NPI:1023340148
Name:ALMAZAN, MARIA ELENA (COMPANION)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:ELENA
Last Name:ALMAZAN
Suffix:
Gender:F
Credentials:COMPANION
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16700 W BRIGHTON DR
Mailing Address - Street 2:
Mailing Address - City:LOXAHATCHEE
Mailing Address - State:FL
Mailing Address - Zip Code:33470-4125
Mailing Address - Country:US
Mailing Address - Phone:561-718-1024
Mailing Address - Fax:561-793-7579
Practice Address - Street 1:16700 W BRIGHTON DR
Practice Address - Street 2:
Practice Address - City:LOXAHATCHEE
Practice Address - State:FL
Practice Address - Zip Code:33470-4125
Practice Address - Country:US
Practice Address - Phone:561-718-1024
Practice Address - Fax:561-793-7579
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-01
Last Update Date:2010-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL231151372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion