Healthcare Provider Details

I. General information

NPI: 1548758709
Provider Name (Legal Business Name): LUCIA ESMERALDA OBREGON APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/24/2018
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1017 WASHINGTON CIR APT K
HOMESTEAD FL
33034-3672
US

IV. Provider business mailing address

1017 WASHINGTON CIR APT K
HOMESTEAD FL
33034-3672
US

V. Phone/Fax

Practice location:
  • Phone: 786-525-8031
  • Fax:
Mailing address:
  • Phone: 786-525-8031
  • Fax: 786-404-8329

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number201803811RN
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN9266049
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11008824
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number201804989NP-PP
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: