MEDICARE: ULISES MARIA APRN

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	GAA-NP002119	GA
2	163W00000X	Registered Nurse	RN9357984	FL
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	406939	NY
4	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	L8-0010793	DE
5	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN04580	RI
6	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN11028660	FL
7	363LF0000X	Family Nurse Practitioner	APRN11028660	FL

General Provider Information

NPI Number	:	1952088189
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ULISES MARIA APRN

Provider Business Mailing Address
First Line	:	3800 NW 8TH CT
Second Line	:
City	:	LAUDERHILL
State	:	FL
Zip	:	33311-6325
Country	:	US
Telephone Number	:	305-417-2230
Fax Number	:

Provider Business Practice Location Address
First Line	:	3438 BELL BLVD STE 3
Second Line	:
City	:	BAYSIDE
State	:	NY
Zip	:	11361-1745
Country	:	US
Telephone Number	:	718-400-8335
Fax Number	:

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

Provider Enumeration Date	:	06/29/2023
Last Update Date	:	02/03/2026

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Directions to “ ULISES MARIA APRN” Practice Location

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