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NPI Code Detail

MEDICARE: CHRISTIAN DE VILLAFUERTE APRN

MEDICARE: CHRISTIAN DE VILLAFUERTE APRN
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
1363LF0000XFamily Nurse PractitionerAPRN11003547FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407491525
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTIAN DE VILLAFUERTE APRN
Provider Business Mailing Address
First Line : 21550 BISCAYNE BLVD STE 131
Second Line :
City : AVENTURA
State : FL
Zip : 33180-1258
Country : US
Telephone Number : 305-814-3376
Fax Number : 305-939-5928
Provider Business Practice Location Address
First Line : 21550 BISCAYNE BLVD STE 131
Second Line :
City : AVENTURA
State : FL
Zip : 33180-1258
Country : US
Telephone Number : 305-814-3376
Fax Number : 305-939-5928
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2019
Last Update Date : 04/27/2023

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