Provider Demographics
NPI:1821841396
Name:GARCIA PUERTA, ZENIA AURORA (APRN)
Entity Type:Individual
Prefix:
First Name:ZENIA
Middle Name:AURORA
Last Name:GARCIA PUERTA
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 1:1609 CONGRESS AVE
Mailing Address - Street 2:
Mailing Address - City:LEHIGH ACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33972-7022
Mailing Address - Country:US
Mailing Address - Phone:786-724-9398
Mailing Address - Fax:
Practice Address - Street 1:1609 CONGRESS AVE
Practice Address - Street 2:
Practice Address - City:LEHIGH ACRES
Practice Address - State:FL
Practice Address - Zip Code:33972-7022
Practice Address - Country:US
Practice Address - Phone:786-724-9398
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11031501363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty