Individual
ILSE LETICIA SERGUERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
114 SE 21ST TER, HOMESTEAD, FL 33033-7236
(305) 988-4188
Mailing address
114 SE 21ST TER, HOMESTEAD, FL 33033-7236
(305) 988-4188
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
786
—
FL
Enumeration date
11/19/2020
Last updated
11/19/2020
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