Individual
JUAN ENRIQUE BANEGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
225 NE 23RD ST APT 1414, MIAMI, FL 33137-4042
(786) 365-5611
Mailing address
225 NE 23RD ST APT 1414, MIAMI, FL 33137-4042
(786) 365-5611
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11030517
FL
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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