Healthcare Provider Details

I. General information

NPI: 1164180543
Provider Name (Legal Business Name): LIENYS ALMAGUER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2021
Last Update Date: 03/27/2025
Certification Date: 03/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3311 11TH AVE SW
NAPLES FL
34117-4168
US

IV. Provider business mailing address

3311 11TH AVE SW
NAPLES FL
34117-4168
US

V. Phone/Fax

Practice location:
  • Phone: 239-465-6514
  • Fax:
Mailing address:
  • Phone: 239-465-6514
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License NumberAPRN11016509
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11016509
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code207QA0000X
TaxonomyAdolescent Medicine (Family Medicine) Physician
License NumberAPRN11016509
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: