Individual
MIRIAM CONSUELO CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
15061 SW 141ST LN, MIAMI, FL 33196-4695
(786) 280-3611
Mailing address
15061 SW 141ST LN, MIAMI, FL 33196-4695
(786) 280-3611
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 9251020
FL
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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