Provider Demographics
NPI:1912557539
Name:MATOS TUR, DAYANIS BEATRIZ (ARNP)
Entity Type:Individual
Prefix:
First Name:DAYANIS
Middle Name:BEATRIZ
Last Name:MATOS TUR
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8824 NW 147TH LN
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33018-7371
Mailing Address - Country:US
Mailing Address - Phone:239-265-7959
Mailing Address - Fax:
Practice Address - Street 1:8824 NW 147TH LN
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33018-7371
Practice Address - Country:US
Practice Address - Phone:239-265-7959
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-16
Last Update Date:2019-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9405295363LF0000X
FL9405295363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily