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NPI Code Detail

MEDICARE: LILIANA CHAVEZ

MEDICARE: LILIANA CHAVEZ
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
1163WP2201XAmbulatory Care Registered NurseRN9299617FL
2363LF0000XFamily Nurse PractitionerAPRN11000467FL

General Provider Information

NPI Number : 1992117766
Entity Type Code : Individual
Provider Name (Legal Business Name) : LILIANA CHAVEZ
Provider Business Mailing Address
First Line : 10401 SW 40TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33165-3745
Country : US
Telephone Number : 305-222-2000
Fax Number : 305-553-5952
Provider Business Practice Location Address
First Line : 8686 CORAL WAY
Second Line :
City : MIAMI
State : FL
Zip : 33155-2338
Country : US
Telephone Number : 305-269-2550
Fax Number : 305-269-2546
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2014
Last Update Date : 01/28/2019

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Directions to “ LILIANA CHAVEZ ” Practice Location

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