Provider Demographics
NPI:1083002828
Name:ANZOATEGUI, CRISTEL (ARNP)
Entity Type:Individual
Prefix:
First Name:CRISTEL
Middle Name:
Last Name:ANZOATEGUI
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14219 SW 126TH PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-6094
Mailing Address - Country:US
Mailing Address - Phone:786-383-6540
Mailing Address - Fax:
Practice Address - Street 1:14219 SW 126TH PL
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-6094
Practice Address - Country:US
Practice Address - Phone:786-383-6540
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-02
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9279291363LA2200X
FLARNP 9279291282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No282N00000XHospitalsGeneral Acute Care Hospital