Provider Demographics
NPI:1598424665
Name:LIMAS MUSA, EDUARDO ENRIQUE (DNP)
Entity Type:Individual
Prefix:
First Name:EDUARDO
Middle Name:ENRIQUE
Last Name:LIMAS MUSA
Suffix:
Gender:M
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4252 SW 131ST AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-4024
Mailing Address - Country:US
Mailing Address - Phone:786-339-0518
Mailing Address - Fax:
Practice Address - Street 1:4252 SW 131ST AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-4024
Practice Address - Country:US
Practice Address - Phone:786-339-0518
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-15
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9444887163WI0500X
FLAPRN11024029367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163WI0500XNursing Service ProvidersRegistered NurseInfusion TherapyGroup - Single Specialty