Healthcare Provider Details

I. General information

NPI: 1275058588
Provider Name (Legal Business Name): CLAUDIA LORENZO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2017
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4175 W 20TH AVE
HIALEAH FL
33012-5874
US

IV. Provider business mailing address

4175 W 20TH AVE
HIALEAH FL
33012-5874
US

V. Phone/Fax

Practice location:
  • Phone: 305-825-0300
  • Fax: 786-209-2055
Mailing address:
  • Phone: 305-825-0300
  • Fax: 786-209-2055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11046133
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: