MEDICARE: CINDY ALEJANDRA TRIANA ANDRADE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	APRN11034265	FL

General Provider Information

NPI Number	:	1023841657
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CINDY ALEJANDRA TRIANA ANDRADE

Provider Business Mailing Address
First Line	:	5200 NW 31ST AVE APT D79
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309-2511
Country	:	US
Telephone Number	:	561-932-8666
Fax Number	:

Provider Business Practice Location Address
First Line	:	5200 NW 31ST AVE APT D79
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309-2511
Country	:	US
Telephone Number	:	561-932-8666
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/20/2024
Last Update Date	:	08/20/2024

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