Individual
MIGUEL A DE LA RUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
GERONTOLOGY APRN
Contact information
Practice address
2057 N UNIVERSITY DR, SUNRISE, FL 33322-3936
(954) 983-9191
(954) 422-9538
Mailing address
2057 N UNIVERSITY DR, SUNRISE, FL 33322-3936
(954) 983-9191
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11004260
FL
363LG0600X
Gerontology Nurse Practitioner
RN9483054
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AG09190084
AANPCB CERTIFICATION NUMBER FLORIDA BOARD OF NURSING
FL
01
—
L0456
MEDICARE
FL
Enumeration date
09/25/2019
Last updated
05/05/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us