Healthcare Provider Details

I. General information

NPI: 1003496084
Provider Name (Legal Business Name): RANEL WOMEN CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2021
Last Update Date: 04/13/2021
Certification Date: 04/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7100 W 20TH AVE STE 506
HIALEAH FL
33016-1824
US

IV. Provider business mailing address

7100 W 20TH AVE STE 506
HIALEAH FL
33016-1824
US

V. Phone/Fax

Practice location:
  • Phone: 305-819-1104
  • Fax: 305-819-1107
Mailing address:
  • Phone: 305-819-1104
  • Fax: 305-819-1107

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: NURYS SERPA
Title or Position: PRESIDENT
Credential: APRN
Phone: 305-819-1104