Provider Demographics
NPI:1609311380
Name:LORENZO, MAIROLYS (APRN)
Entity Type:Individual
Prefix:
First Name:MAIROLYS
Middle Name:
Last Name:LORENZO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8300 SW 8TH ST STE 308
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-4132
Mailing Address - Country:US
Mailing Address - Phone:786-746-9769
Mailing Address - Fax:786-787-8462
Practice Address - Street 1:8300 SW 8TH ST STE 308
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-4132
Practice Address - Country:US
Practice Address - Phone:786-479-9599
Practice Address - Fax:786-953-6208
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-04
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 9292479363L00000X
FL9292479363LP0808X
FLAPRN9292479363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health