MEDICARE: DR. LEINIEL ANTUNEZ FARINAS FNP

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	363LF0000X	Family Nurse Practitioner	335833	AZ
2	363LF0000X	Family Nurse Practitioner	1051689	TX
3	363LF0000X	Family Nurse Practitioner	11013826	FL
4	363LF0000X	Family Nurse Practitioner	AP0075000	WA
5	363LF0000X	Family Nurse Practitioner	353172	NY
6	363LF0000X	Family Nurse Practitioner	C-APN.0105649-C-NP	CO

General Provider Information

NPI Number	:	1326617598
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEINIEL ANTUNEZ FARINAS FNP

Provider Business Mailing Address
First Line	:	6205 SW 131ST CT APT 102
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33183-5269
Country	:	US
Telephone Number	:	832-309-2310
Fax Number	:	832-301-0190

Provider Business Practice Location Address
First Line	:	1050 S 11TH ST
Second Line	:
City	:	BEAUMONT
State	:	TX
Zip	:	77701-4739
Country	:	US
Telephone Number	:	832-309-2310
Fax Number	:

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

Provider Enumeration Date	:	06/22/2021
Last Update Date	:	03/15/2026

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