Provider Demographics
NPI:1124522446
Name:GABAY DE VARNAGY, ESTRELLA (SA-C)
Entity type:Individual
Prefix:
First Name:ESTRELLA
Middle Name:
Last Name:GABAY DE VARNAGY
Suffix:
Gender:F
Credentials:SA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15901 COLLINS AVE APT 804
Mailing Address - Street 2:
Mailing Address - City:SUNNY ISLES BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-4764
Mailing Address - Country:US
Mailing Address - Phone:305-504-1240
Mailing Address - Fax:
Practice Address - Street 1:15901 COLLINS AVE APT 804
Practice Address - Street 2:
Practice Address - City:SUNNY ISLES BEACH
Practice Address - State:FL
Practice Address - Zip Code:33160-4764
Practice Address - Country:US
Practice Address - Phone:305-504-1240
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-21
Last Update Date:2018-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL17-406246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant