Individual
MR. ROBERTO MAGNAYE DIMAPILIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
14040 SW 152ND TERRACE, MIAMI, FL 33177
(786) 252-9426
Mailing address
14040 SW 152ND TER, MIAMI, FL 33177-0948
(786) 252-9426
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9162820
FL
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN9162820
FL
363LA2200X
Adult Health Nurse Practitioner
AG0816106
FL
363LG0600X
Gerontology Nurse Practitioner
AG0816106
FL
363LP2300X
Primary Care Nurse Practitioner
AG0816106
FL
Other
Enumeration date
08/27/2017
Last updated
05/01/2025
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