Provider Demographics
NPI:1588184741
Name:BRENES, FRANCISCO (ARNP)
Entity Type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:
Last Name:BRENES
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9020 SW 137TH AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-1426
Mailing Address - Country:US
Mailing Address - Phone:305-671-3505
Mailing Address - Fax:305-671-3505
Practice Address - Street 1:9020 SW 137TH AVE STE 200
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-1426
Practice Address - Country:US
Practice Address - Phone:305-671-3503
Practice Address - Fax:305-671-3505
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-20
Last Update Date:2017-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9315206363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLARNP9315206OtherSTATE ARNP LICENSE