Provider Demographics
NPI:1710624994
Name:LLAMAS, GISELA MARGARITA (APRN)
Entity Type:Individual
Prefix:
First Name:GISELA
Middle Name:MARGARITA
Last Name:LLAMAS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:GISELA
Other - Middle Name:MARGARITA
Other - Last Name:LLAMAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN
Mailing Address - Street 1:3655 SW 148TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33185-3900
Mailing Address - Country:US
Mailing Address - Phone:786-223-5061
Mailing Address - Fax:
Practice Address - Street 1:3655 SW 148TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33185-3900
Practice Address - Country:US
Practice Address - Phone:786-223-5061
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-18
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11019371163WC0400X, 207Q00000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WC0400XNursing Service ProvidersRegistered NurseCase Management
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine