Healthcare Provider Details

I. General information

NPI: 1013308063
Provider Name (Legal Business Name): MARIBEL ALFONSO ARNP-MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/12/2015
Last Update Date: 03/31/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16601 SW 60TH TER
MIAMI FL
33193-5706
US

IV. Provider business mailing address

16601 SW 60TH TER
MIAMI FL
33193-5706
US

V. Phone/Fax

Practice location:
  • Phone: 786-873-9611
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9252532
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License NumberARNP 9252532
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: