Healthcare Provider Details

I. General information

NPI: 1710826110
Provider Name (Legal Business Name): FANNY BARREIRO LORENTE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2026
Last Update Date: 03/28/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17021 N BAY RD APT 812
SUNNY ISLES BEACH FL
33160-3625
US

IV. Provider business mailing address

17021 N BAY RD APT 812
SUNNY ISLES BEACH FL
33160-3625
US

V. Phone/Fax

Practice location:
  • Phone: 305-305-5652
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11046300
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: