Provider Demographics
NPI:1881918910
Name:SOTOMAYOR, NAYIBE (RN)
Entity type:Individual
Prefix:
First Name:NAYIBE
Middle Name:
Last Name:SOTOMAYOR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27122 SW 140TH PSGE
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032-8848
Mailing Address - Country:US
Mailing Address - Phone:305-455-6268
Mailing Address - Fax:305-455-6201
Practice Address - Street 1:27122 SW 140TH PSGE
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33032-8848
Practice Address - Country:US
Practice Address - Phone:305-455-6268
Practice Address - Fax:305-455-6201
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-18
Last Update Date:2010-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9244392163WC0400X, 163WH0200X, 163WI0500X, 163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy
No163WP0200XNursing Service ProvidersRegistered NursePediatrics