Provider Demographics
NPI:1366999690
Name:LABRADA-CAPESTANY, DAYRON (PA)
Entity type:Individual
Prefix:
First Name:DAYRON
Middle Name:
Last Name:LABRADA-CAPESTANY
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 S PINE ISLAND RD
Mailing Address - Street 2:SUITE 800
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-3920
Mailing Address - Country:US
Mailing Address - Phone:305-387-7211
Mailing Address - Fax:305-382-2708
Practice Address - Street 1:13734 SW 56TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-6020
Practice Address - Country:US
Practice Address - Phone:305-387-7211
Practice Address - Fax:305-382-2708
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-02
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9109717363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL019009900Medicaid