Individual
VIVIAN M. HURTADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8175 NW 12TH ST, SUITE 306 ATN. N. AGUERO, DORAL, FL 33126-1828
(786) 845-0173
(786) 845-0176
Mailing address
8175 NW 12TH ST, SUITE 306 ATN. N. AGUERO, DORAL, FL 33126-1828
(786) 845-0173
(786) 845-0176
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9194135
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9194135
LICENSE NUMBER
FL
Enumeration date
01/22/2007
Last updated
07/08/2007
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