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NPI Code Detail

MEDICARE: GEORGE CIENFUEGOS FNP-BC

MEDICARE:   GEORGE  CIENFUEGOS  FNP-BC
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 Practitioner2024027163FL

General Provider Information

NPI Number : 1811738602
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEORGE CIENFUEGOS FNP-BC
Provider Business Mailing Address
First Line : 19277 NW 27TH AVE
Second Line :
City : MIAMI GARDENS
State : FL
Zip : 33056-2596
Country : US
Telephone Number : 786-355-9646
Fax Number :
Provider Business Practice Location Address
First Line : 19277 NW 27TH AVE
Second Line :
City : MIAMI GARDENS
State : FL
Zip : 33056-2596
Country : US
Telephone Number : 786-355-9646
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2024
Last Update Date : 06/04/2024

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Directions to “ GEORGE CIENFUEGOS FNP-BC” Practice Location

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