Healthcare Provider Details

I. General information

NPI: 1952684011
Provider Name (Legal Business Name): VIVIAN SALINAS ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2011
Last Update Date: 12/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 NW 72ND AVE STE 650
MIAMI FL
33126-1921
US

IV. Provider business mailing address

3684 ESTEPONA AVE
DORAL FL
33178-2341
US

V. Phone/Fax

Practice location:
  • Phone: 305-403-2221
  • Fax: 305-403-2262
Mailing address:
  • Phone: 305-812-4329
  • Fax: 305-403-2262

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberRN 9311339
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code364SF0001X
TaxonomyFamily Health Clinical Nurse Specialist
License NumberARNP9311339
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: