Provider Demographics
NPI:1659231843
Name:DANIZ, EDIVAL
Entity type:Individual
Prefix:
First Name:EDIVAL
Middle Name:
Last Name:DANIZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 LUDLAM RD APT 536
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-1986
Mailing Address - Country:US
Mailing Address - Phone:786-379-6371
Mailing Address - Fax:
Practice Address - Street 1:2001 LUDLAM RD APT 536
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-1986
Practice Address - Country:US
Practice Address - Phone:786-379-6371
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-12
Last Update Date:2025-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist