MEDICARE: FRANCISCO BRENES 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	ARNP9315206	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ARNP9315206	OTHER	FL	STATE ARNP LICENSE

General Provider Information

NPI Number	:	1588184741
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCISCO BRENES ARNP

Provider Business Mailing Address
First Line	:	9020 SW 137TH AVE STE 200
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33186-1426
Country	:	US
Telephone Number	:	305-671-3505
Fax Number	:	305-671-3505

Provider Business Practice Location Address
First Line	:	9020 SW 137TH AVE STE 200
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33186-1426
Country	:	US
Telephone Number	:	305-671-3503
Fax Number	:	305-671-3505

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

Provider Enumeration Date	:	06/20/2017
Last Update Date	:	06/20/2017

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