Provider Demographics
NPI:1902401540
Name:RUBINOS MARRERO, BEATRIZ (APRN)
Entity Type:Individual
Prefix:
First Name:BEATRIZ
Middle Name:
Last Name:RUBINOS MARRERO
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 1:1871 W 62ND ST APT 310
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-6037
Mailing Address - Country:US
Mailing Address - Phone:786-574-1620
Mailing Address - Fax:
Practice Address - Street 1:1871 W 62ND ST APT 310
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-6037
Practice Address - Country:US
Practice Address - Phone:786-574-1620
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-02
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11010241363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily