Individual
LEILANI BALAGTAS SILLANO-ROSALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6200 SW 73RD STREET, MIAMI, FL 33143
(786) 242-4575
Mailing address
3820 SW 167TH AVE, MIRAMAR, FL 33027-4644
(954) 438-9774
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP2881832
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
308176100
—
FL
01
—
G4096
BCBS OF FLORIDA
FL
Enumeration date
10/02/2006
Last updated
08/19/2011
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