Provider Demographics
NPI:1326617598
Name:ANTUNEZ FARINAS, LEINIEL (FNP)
Entity Type:Individual
Prefix:DR
First Name:LEINIEL
Middle Name:
Last Name:ANTUNEZ FARINAS
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6205 SW 131ST CT APT 102
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-5269
Mailing Address - Country:US
Mailing Address - Phone:832-277-4222
Mailing Address - Fax:
Practice Address - Street 1:6606 ANTOINE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77091-1206
Practice Address - Country:US
Practice Address - Phone:832-831-5114
Practice Address - Fax:832-203-5186
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-22
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11013826363LF0000X
NY353172363LF0000X
TX1051689363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily