MEDICARE: AYLEMA MURSULI DE LA TORRE 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
1	363LF0000X	Family Nurse Practitioner	APRN11025716	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902592702
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AYLEMA MURSULI DE LA TORRE APRN

Provider Business Mailing Address
First Line	:	PO BOX 22239
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10087-0001
Country	:	US
Telephone Number	:	702-899-0595
Fax Number	:	702-977-1496

Provider Business Practice Location Address
First Line	:	8333 W OKEECHOBEE RD
Second Line	:
City	:	HIALEAH GARDENS
State	:	FL
Zip	:	33016-2109
Country	:	US
Telephone Number	:	872-231-3162
Fax Number	:

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

Provider Enumeration Date	:	04/13/2023
Last Update Date	:	11/10/2025

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