Provider Demographics
NPI:1083373377
Name:LIMAS, WILFREDO (RN)
Entity Type:Individual
Prefix:
First Name:WILFREDO
Middle Name:
Last Name:LIMAS
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2993 W 80TH ST APT 11
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33018-7244
Mailing Address - Country:US
Mailing Address - Phone:786-427-0124
Mailing Address - Fax:
Practice Address - Street 1:4672 NW 97TH PL
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33178-1967
Practice Address - Country:US
Practice Address - Phone:786-953-5026
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-14
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9274036163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty