Healthcare Provider Details

I. General information

NPI: 1770429110
Provider Name (Legal Business Name): VANESSA MICHELLE BORJAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7600 SW 87TH AVE STE 200
MIAMI FL
33173-3635
US

IV. Provider business mailing address

125 W 7TH ST APT 3A
HIALEAH FL
33010-4372
US

V. Phone/Fax

Practice location:
  • Phone: 305-595-2414
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAPRN11035517
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: