Provider Demographics
NPI:1144788662
Name:RINCON, LUZ EUGENIA (APRN)
Entity Type:Individual
Prefix:
First Name:LUZ
Middle Name:EUGENIA
Last Name:RINCON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16963 SW 90TH TERRACE CIR
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-4754
Mailing Address - Country:US
Mailing Address - Phone:305-776-1541
Mailing Address - Fax:
Practice Address - Street 1:16963 SW 90TH TERRACE CIR
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33196-4754
Practice Address - Country:US
Practice Address - Phone:305-776-1541
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-04
Last Update Date:2019-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11000280363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care