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NPI Code Detail

MEDICARE: MARIBEL MEDINA

MEDICARE: MARIBEL MEDINA
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
1367500000XCertified Registered Nurse Anesthetist11030584FL

General Provider Information

NPI Number : 1609651587
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIBEL MEDINA
Provider Business Mailing Address
First Line : 8060 NW 10TH ST APT 3
Second Line :
City : MIAMI
State : FL
Zip : 33126-2868
Country : US
Telephone Number : 502-345-6663
Fax Number :
Provider Business Practice Location Address
First Line : CARR #2 KM 80.4 BO SAN DANIEL
Second Line : SECTOR LAS CANELAS
City : ARECIBO
State : PR
Zip : 00614-4050
Country : US
Telephone Number : 787-878-5475
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2023
Last Update Date : 01/30/2024

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Directions to “ MARIBEL MEDINA ” Practice Location

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