Provider Demographics
NPI:1164394136
Name:ACUNA, NIURKA (ISW21984)
Entity type:Individual
Prefix:
First Name:NIURKA
Middle Name:
Last Name:ACUNA
Suffix:
Gender:F
Credentials:ISW21984
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7490 NW 180TH TER
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-8449
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2300 W 84TH ST STE 111
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-5771
Practice Address - Country:US
Practice Address - Phone:305-530-8298
Practice Address - Fax:305-530-8466
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-19
Last Update Date:2025-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor