Individual
DR. MIREYA LLENSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.,
Contact information
Practice address
8560 SW 20TH TER, MIAMI, FL 33155-1050
(786) 942-1667
Mailing address
8560 SW 20TH TER, MIAMI, FL 33155-1050
(786) 942-1667
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME86749
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261377800
—
FL
Enumeration date
01/10/2007
Last updated
05/14/2024
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