Provider Demographics
NPI:1518720838
Name:RICUPERO, SARAMARIA (APRN,FNP-BC)
Entity Type:Individual
Prefix:
First Name:SARAMARIA
Middle Name:
Last Name:RICUPERO
Suffix:
Gender:F
Credentials:APRN,FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5001 COLLINS AVE APT 10J
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2739
Mailing Address - Country:US
Mailing Address - Phone:347-783-9511
Mailing Address - Fax:
Practice Address - Street 1:115 NE 32ND STREET
Practice Address - Street 2:102
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137-4390
Practice Address - Country:US
Practice Address - Phone:561-468-5801
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-31
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11029136363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily