Provider Demographics
NPI:1346346491
Name:AROSEMENA, ANALISA (MD)
Entity Type:Individual
Prefix:MRS
First Name:ANALISA
Middle Name:
Last Name:AROSEMENA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7135 COLLINS AVE APT 1233
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33141-3257
Mailing Address - Country:US
Mailing Address - Phone:786-375-7433
Mailing Address - Fax:
Practice Address - Street 1:7135 COLLINS AVE APT 1233
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33141-3257
Practice Address - Country:US
Practice Address - Phone:786-375-7433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-16
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME96008207W00000X, 207WX0009X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207WX0009XAllopathic & Osteopathic PhysiciansOphthalmologyGlaucoma SpecialistGroup - Single Specialty
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL276560800Medicaid
FL276560800Medicaid
FLAA483AMedicare PIN