Provider Demographics
NPI:1386261899
Name:CHAVEZ, ALEYDA L
Entity type:Individual
Prefix:
First Name:ALEYDA
Middle Name:L
Last Name:CHAVEZ
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 1:12550 BISCAYNE BLVD STE 208
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33181-2536
Mailing Address - Country:US
Mailing Address - Phone:954-646-4826
Mailing Address - Fax:
Practice Address - Street 1:12550 BISCAYNE BLVD STE 208
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33181-2536
Practice Address - Country:US
Practice Address - Phone:305-995-0130
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-30
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299995173251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health