MEDICARE: EMMA REBECA FRANCO-DIAZ 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	363LF0000X	Family Nurse Practitioner	ARNP9294694	FL

General Provider Information

NPI Number	:	1730558438
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMMA REBECA FRANCO-DIAZ ARNP

Provider Business Mailing Address
First Line	:	4208 W 16TH AVE
Second Line	:	#329
City	:	HIALEAH
State	:	FL
Zip	:	33012-7629
Country	:	US
Telephone Number	:	786-231-9168
Fax Number	:

Provider Business Practice Location Address
First Line	:	4208 W 16TH AVE
Second Line	:	#329
City	:	HIALEAH
State	:	FL
Zip	:	33012-7629
Country	:	US
Telephone Number	:	786-231-9168
Fax Number	:

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

Provider Enumeration Date	:	09/23/2015
Last Update Date	:	03/14/2016

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