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

Provider Other Name: MARIA CECILIA BOTERO NP

II. Dates (important events)

Enumeration Date: 10/23/2017
Last Update Date: 06/10/2024
Certification Date: 06/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 NW 14TH ST
MIAMI FL
33136-2107
US

IV. Provider business mailing address

1255 PENNSYLVANIA AVE APT 107
MIAMI BEACH FL
33139-4497
US

V. Phone/Fax

Practice location:
  • Phone: 305-243-2279
  • Fax: 305-243-8108
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number9351455
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN9351455
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: