1356522155 NPI number — DR. ADRIANA M. BONANSEA-FRANCES MD

Table of content: MRS. KARAN N CIGNA MS CCC-SLP (NPI 1306106554)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1356522155 NPI number — DR. ADRIANA M. BONANSEA-FRANCES MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BONANSEA-FRANCES
Provider First Name:
ADRIANA
Provider Middle Name:
M.
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BONANSEA
Provider Other First Name:
ADRIANA MARIA
Provider Other Middle Name:
DEL VALLE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1356522155
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/21/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11880 SW 40TH ST
Provider Second Line Business Mailing Address:
SUITE 304
Provider Business Mailing Address City Name:
MIAMI
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33175-3584
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-223-8808
Provider Business Mailing Address Fax Number:
305-223-8974

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
100 NE 15TH ST
Provider Second Line Business Practice Location Address:
SUITE 104
Provider Business Practice Location Address City Name:
HOMESTEAD
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33030-4581
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-245-1100
Provider Business Practice Location Address Fax Number:
305-245-0852
Provider Enumeration Date:
11/20/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207K00000X , with the licence number:  ME97880 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 281204500 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: AL5297Y . This is a "MEDICARE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".




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