Individual
MS. KAILEN RIVERO MARRERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN9453864
Contact information
Practice address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 666-6511
Mailing address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 666-6511
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9453864
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105263500
—
FL
01
—
APRN9453864
APRN LICENSE
FL
Enumeration date
07/09/2018
Last updated
08/12/2024
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