Provider Demographics
NPI:1285524512
Name:SERVIAT, HECTOR JAIME
Entity type:Individual
Prefix:
First Name:HECTOR
Middle Name:JAIME
Last Name:SERVIAT
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 1:15996 SW 83RD TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193-3084
Mailing Address - Country:US
Mailing Address - Phone:786-474-8371
Mailing Address - Fax:
Practice Address - Street 1:15996 SW 83RD TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33193-3084
Practice Address - Country:US
Practice Address - Phone:786-474-8371
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-08
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9520252163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse