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NPI Code Detail

MEDICARE: BELKIS PADRON PROENZA

MEDICARE: BELKIS PADRON PROENZA
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
1363LF0000XFamily Nurse PractitionerAPRN11031730FL

General Provider Information

NPI Number : 1558111559
Entity Type Code : Individual
Provider Name (Legal Business Name) : BELKIS PADRON PROENZA
Provider Business Mailing Address
First Line : 10375 W 33RD WAY
Second Line :
City : HIALEAH
State : FL
Zip : 33018-2094
Country : US
Telephone Number : 786-493-2962
Fax Number :
Provider Business Practice Location Address
First Line : 149 W 21ST ST
Second Line :
City : HIALEAH
State : FL
Zip : 33010-2615
Country : US
Telephone Number : 786-453-8720
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2024
Last Update Date : 09/06/2024

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Directions to “ BELKIS PADRON PROENZA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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