Provider Demographics
NPI:1528547536
Name:PLASENCIA, BELKIS MARIA (ARNP-BC)
Entity Type:Individual
Prefix:
First Name:BELKIS
Middle Name:MARIA
Last Name:PLASENCIA
Suffix:
Gender:F
Credentials:ARNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19800 SW 180TH AVE LOT 465
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33187-2643
Mailing Address - Country:US
Mailing Address - Phone:305-305-6573
Mailing Address - Fax:
Practice Address - Street 1:19800 SW 180TH AVE LOT 465
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33187-2643
Practice Address - Country:US
Practice Address - Phone:305-305-6573
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-09
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9369076363LG0600X
FLAPRN9369076363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology