Mederos, Maria A

Mederos, Maria A is an individual health care provider with primary practice located at 2097 W 76Th St , Hialeah FL 33016-1834. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Mederos, Maria A can be contacted via phone (786) 504-5969.

Contact Information

Primary practice address
2097 W 76Th St Hialeah FL 33016-1834
Phone: (786) 504-5969
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP 2802932 Florida

Profile Details

NPI number 1316151780
LBN Legal business name Mederos, Maria A
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2007
Last updated Aug 3rd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316151780 NPPES
Florida Other ARNP 2802932 MEDICAL LICENSE

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