Provider Demographics
NPI:1043681596
Name:ORESTE, MENSNY
Entity Type:Individual
Prefix:
First Name:MENSNY
Middle Name:
Last Name:ORESTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 MIRANDA LN STE 131
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-0771
Mailing Address - Country:US
Mailing Address - Phone:855-864-0490
Mailing Address - Fax:
Practice Address - Street 1:1101 MIRANDA LN STE 131
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-0771
Practice Address - Country:US
Practice Address - Phone:407-800-9696
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-09
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL234132171W00000X
376K00000X, 374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No171W00000XOther Service ProvidersContractor
No376K00000XNursing Service Related ProvidersNurse's Aide