Provider Demographics
NPI:1215461306
Name:CASAMAYOR, NAYMA
Entity type:Individual
Prefix:DR
First Name:NAYMA
Middle Name:
Last Name:CASAMAYOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6050 W 20TH AVE FL 3
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-2605
Mailing Address - Country:US
Mailing Address - Phone:786-584-5555
Mailing Address - Fax:786-584-5050
Practice Address - Street 1:6050 W 20TH AVE FL 3
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-2605
Practice Address - Country:US
Practice Address - Phone:786-584-5555
Practice Address - Fax:786-584-5050
Is Sole Proprietor?:No
Enumeration Date:2017-04-14
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
FLME145662207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program