Provider Demographics
NPI:1013152024
Name:MARIANO, XILENA PATRICIA (RN)
Entity Type:Individual
Prefix:
First Name:XILENA
Middle Name:PATRICIA
Last Name:MARIANO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8175 NW 12TH ST
Mailing Address - Street 2:SUITE 306
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33126-1828
Mailing Address - Country:US
Mailing Address - Phone:786-845-0164
Mailing Address - Fax:786-845-0176
Practice Address - Street 1:18255 HOMESTEAD AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33157
Practice Address - Country:US
Practice Address - Phone:305-575-3800
Practice Address - Fax:305-470-5846
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-04
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9266938163W00000X, 163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1820171895OtherFLORIDA DEPARTMENT OF HEALTH(DBA:MIAMI-DADE COUNTY HEALTH DEPARTMENT/NPI