Healthcare Provider Details
I. General information
NPI: 1831600451
Provider Name (Legal Business Name): MARIA CECILIA BOTERO ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/23/2017
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11098 BISCAYNE BLVD STE 401
MIAMI FL
33161-7491
US
IV. Provider business mailing address
11098 BISCAYNE BLVD STE 401
MIAMI FL
33161-7491
US
V. Phone/Fax
- Phone: 305-528-9525
- Fax:
- Phone:
- Fax: 850-695-6060
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084N0400X |
| Taxonomy | Neurology Physician |
| License Number | 9351455 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084N0400X |
| Taxonomy | Neurology Physician |
| License Number | APRN9351455 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: