Healthcare Provider Details

I. General information

NPI: 1669943056
Provider Name (Legal Business Name): MAYDELIN NAVARRO APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/10/2018
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5200 NE 2ND AVE 3RD FLOOR, STEIN BUILDING
MIAMI FL
33137-2706
US

IV. Provider business mailing address

8208 NW 201 ST
HIALEAH FL
33015
US

V. Phone/Fax

Practice location:
  • Phone: 786-473-9063
  • Fax:
Mailing address:
  • Phone: 786-473-9063
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAPRN11000491
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: