Healthcare Provider Details
I. General information
NPI: 1972970424
Provider Name (Legal Business Name): ALAIN LLANES ROJAS NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/31/2015
Last Update Date: 04/13/2023
Certification Date: 04/13/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9995 SUNSET DR STE 205
MIAMI FL
33173-4662
US
IV. Provider business mailing address
9995 SUNSET DR STE 205
MIAMI FL
33173-4662
US
V. Phone/Fax
- Phone: 786-401-7528
- Fax: 786-334-5985
- Phone: 786-401-7528
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | APRN9340317 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | APRN9340317 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: