LUIS MANUEL VANDAMA BRIZUELA APRN NPI 1104449644

NPI Information

NPI: 1104449644
Provider Name: LUIS MANUEL VANDAMA BRIZUELA, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
681 W 50TH PL
HIALEAH, FL
ZIP 33012
Phone: (954) 826-6363
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Luis Manuel Vandama Brizuela, APRN is a family nurse practitioner in Hialeah, FL. Luis Manuel Vandama Brizuela, APRN NPI is 1104449644. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

681 W 50TH PL
HIALEAH, FL
ZIP 33012-614
Phone: (954) 826-6363

The enumeration date for this NPI number is 5/19/2020 and was last updated on 5/19/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	APRN11007011	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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