Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | ME125335 | FL |
NPI | 1003912684 |
---|---|
Provider Name | Maria R Aleyas |
First Address | Plantation, FL 33324-3920 |
Second Address | Pembroke Pines, FL 33026-5214 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2006 |
Last Update Date | 21/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
015577100 | (05) | FL |