Healthcare Provider Details

I. General information

NPI: 1396557435
Provider Name (Legal Business Name): HECTOR SANTOS MILANES ARNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2025
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29505 SW 168TH CT
HOMESTEAD FL
33030-2054
US

IV. Provider business mailing address

29505 SW 168TH CT
HOMESTEAD FL
33030-2054
US

V. Phone/Fax

Practice location:
  • Phone: 786-859-0812
  • Fax:
Mailing address:
  • Phone: 786-859-0812
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number11037282
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN11037282
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: