Healthcare Provider Details

I. General information

NPI: 1447704796
Provider Name (Legal Business Name): DAVID TRETO APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2016
Last Update Date: 11/26/2024
Certification Date: 11/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8300 W FLAGLER ST STE 170
MIAMI FL
33144-2098
US

IV. Provider business mailing address

3862 SW 153RD CT
MIAMI FL
33185-4721
US

V. Phone/Fax

Practice location:
  • Phone: 786-633-5171
  • Fax: 786-558-9279
Mailing address:
  • Phone: 786-385-4494
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number9294865
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License Number9294865
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number9294865
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number9294865
License Number StateFL
# 5
Primary TaxonomyY
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License NumberAPRN9294865
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: