Individual
ADELISA BENCOMO RUANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
218 NW 8TH ST APT 328, MIAMI, FL 33136-3947
(786) 316-5626
Mailing address
218 NW 8TH ST APT 328, MIAMI, FL 33136-3947
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11030087
FL
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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