MEDICARE: MR. RICHARD ASENSIO ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	ARNP 9265218	FL

General Provider Information

NPI Number	:	1235509431
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RICHARD ASENSIO ARNP

Provider Business Mailing Address
First Line	:	4175 W 20TH AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-5874
Country	:	US
Telephone Number	:	305-825-0300
Fax Number	:	786-209-2035

Provider Business Practice Location Address
First Line	:	4175 W 20TH AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-5874
Country	:	US
Telephone Number	:	305-825-0300
Fax Number	:	786-209-2035

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/30/2015
Last Update Date	:	03/18/2026

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