Perez-Burgos, Idania Lucia

Perez-Burgos, Idania Lucia is an individual health care provider with primary practice located at 7306 Sw 117Th Ave , Miami FL 33183-3804. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Perez-Burgos, Idania Lucia can be contacted via phone (305) 220-0220.

Contact Information

Primary practice address
7306 Sw 117Th Ave Miami FL 33183-3804
Phone: (305) 220-0220
Fax: (305) 463-6659
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP2688452 Florida

Profile Details

NPI number 1053304121
LBN Legal business name Perez-Burgos, Idania Lucia
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Apr 8th, 2024 - about 5 months 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 1053304121 NPPES
Florida MEDICAID 304082800

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