Healthcare Provider Details

I. General information

NPI: 1750979803
Provider Name (Legal Business Name): LUIS CURBELO CUNILL FNP, APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2021
Last Update Date: 12/30/2023
Certification Date: 12/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9350 SUNSET DR STE 151
MIAMI FL
33173-3286
US

IV. Provider business mailing address

14305 SW 57TH LN APT 6
MIAMI FL
33183-1064
US

V. Phone/Fax

Practice location:
  • Phone: 786-548-1022
  • Fax: 305-774-9573
Mailing address:
  • Phone: 786-445-3656
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number11010155
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number11010155
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: