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NPI Code Detail

MEDICARE: PAULINA CARRACEDO APRN

MEDICARE: PAULINA CARRACEDO 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 Practitioner11043926FL

General Provider Information

NPI Number : 1669335543
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAULINA CARRACEDO APRN
Provider Business Mailing Address
First Line : 6830 SW 45TH LN APT 8
Second Line :
City : MIAMI
State : FL
Zip : 33155-6823
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 315 PALERMO AVE
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-6607
Country : US
Telephone Number : 305-308-8860
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2025
Last Update Date : 12/08/2025

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Directions to “ PAULINA CARRACEDO APRN” Practice Location

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