Provider Demographics
NPI:1770013492
Name:ENCINAS, KRISTINE ALEXANDRA (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:KRISTINE
Middle Name:ALEXANDRA
Last Name:ENCINAS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:KRISTINE
Other - Middle Name:ALEXANDRA
Other - Last Name:ALVAREZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:10411 SW 127TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-3520
Mailing Address - Country:US
Mailing Address - Phone:305-984-4409
Mailing Address - Fax:
Practice Address - Street 1:1611 NW 12TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1005
Practice Address - Country:US
Practice Address - Phone:305-596-6150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-14
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9321103363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily