Healthcare Provider Details

I. General information

NPI: 1841126133
Provider Name (Legal Business Name): CRISTINA CAROLINA JARQUIN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8375 NW 53RD TER
DORAL FL
33166-4851
US

IV. Provider business mailing address

1889 NW 82ND ST
MIAMI FL
33147-5027
US

V. Phone/Fax

Practice location:
  • Phone: 305-689-1585
  • Fax: 305-689-0237
Mailing address:
  • Phone: 786-319-1496
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11048437
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: