1619429545 NPI number — ETIENNE DE LA NUEZ

Table of content: ETIENNE DE LA NUEZ (NPI 1619429545)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619429545 NPI number — ETIENNE DE LA NUEZ

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DE LA NUEZ
Provider First Name:
ETIENNE
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1619429545
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/28/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6200 SUNSET DR STE 302
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SOUTH MIAMI
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33143-4829
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
786-662-8122
Provider Business Mailing Address Fax Number:
305-595-3088

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
14660 SW 8TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33184-3135
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
786-888-8820
Provider Business Practice Location Address Fax Number:
305-595-3088
Provider Enumeration Date:
10/26/2016

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: 363LF0000X , with the licence number:  ARNP9261663 , 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: 107859300 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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