Provider Demographics
NPI:1598240152
Name:OSEGUEDA ACUNA, SERGIO ALEJANDRO (ARNP)
Entity Type:Individual
Prefix:
First Name:SERGIO
Middle Name:ALEJANDRO
Last Name:OSEGUEDA ACUNA
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 1:533 E 18TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33013-4121
Mailing Address - Country:US
Mailing Address - Phone:305-972-2021
Mailing Address - Fax:
Practice Address - Street 1:533 E 18TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33013-4121
Practice Address - Country:US
Practice Address - Phone:305-972-2021
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-30
Last Update Date:2018-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9434096363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily