Provider Demographics
NPI:1760428627
Name:LEMES, ANTONIA ERLINDA (BS)
Entity Type:Individual
Prefix:
First Name:ANTONIA
Middle Name:ERLINDA
Last Name:LEMES
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:ANTONIA
Other - Middle Name:ERLINDA
Other - Last Name:LEMES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ARNP
Mailing Address - Street 1:7010 SW 14TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-5415
Mailing Address - Country:US
Mailing Address - Phone:305-244-8404
Mailing Address - Fax:
Practice Address - Street 1:7010 SW 14TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-5415
Practice Address - Country:US
Practice Address - Phone:305-244-8404
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-21
Last Update Date:2016-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X
FL9282391363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL764525200Medicaid