Healthcare Provider Details

I. General information

NPI: 1285874792
Provider Name (Legal Business Name): SYLMA MARIA MILLARES A.R.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/23/2009
Last Update Date: 01/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10250 SW 56TH ST STE C101
MIAMI FL
33165-7065
US

IV. Provider business mailing address

12204 SW 95TH ST
MIAMI FL
33186-1927
US

V. Phone/Fax

Practice location:
  • Phone: 305-271-8509
  • Fax: 786-558-8917
Mailing address:
  • Phone: 305-271-8509
  • Fax: 786-558-8917

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberARNP 3277452
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: