Healthcare Provider Details

I. General information

NPI: 1073979159
Provider Name (Legal Business Name): DENISSE BARRERA ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2016
Last Update Date: 06/23/2020
Certification Date: 06/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1350 NW 14TH ST # 325
MIAMI FL
33125-1609
US

IV. Provider business mailing address

931 NW 39TH CT
MIAMI FL
33126-3621
US

V. Phone/Fax

Practice location:
  • Phone: 305-575-3800
  • Fax: 305-470-5846
Mailing address:
  • Phone: 305-804-2049
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9310228
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: