Most Relevant Information
Provider Data
| NPI Number: | 1003481136 |
| Provider Name: | ADRIANA AISA |
| Entity Type: | Individual |
| Taxonomy Code: | 2355S0801X |
| Specialty: | Specialist/Technologist |
| License Number: | 4801 |
Most Important Dates
| Enumeration Date: | 05/21/2021 |
| Last Updated: | 05/21/2021 |
Provider Practice Location
5979 NW 151ST ST
MIAMI LAKES
FL
330142400
Practice Location Phone/Fax
| Phone: | 3053620202 |
| Fax: |
Provider Mailing Location
19124 N GARDENIA AVE
WESTON
FL
333324408
Provider Mailing Phone/Fax
| Phone: | 3059058171 |
| Fax: |