Healthcare Provider Details

I. General information

NPI: 1881412492
Provider Name (Legal Business Name): LAURA VICTORIA MURIAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2024
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9380 SW 150TH ST
MIAMI FL
33176-7947
US

IV. Provider business mailing address

9380 SW 150TH ST STE 295
MIAMI FL
33176-7979
US

V. Phone/Fax

Practice location:
  • Phone: 786-691-5560
  • Fax:
Mailing address:
  • Phone: 305-256-5018
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN11035587
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number11035587
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: