Provider Demographics
NPI:1285874792
Name:MILLARES, SYLMA MARIA (ARNP)
Entity type:Individual
Prefix:
First Name:SYLMA
Middle Name:MARIA
Last Name:MILLARES
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12204 SW 95TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-1927
Mailing Address - Country:US
Mailing Address - Phone:305-271-8509
Mailing Address - Fax:786-558-8917
Practice Address - Street 1:10250 SW 56TH ST STE C101
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-7065
Practice Address - Country:US
Practice Address - Phone:305-271-8509
Practice Address - Fax:786-558-8917
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-23
Last Update Date:2019-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 3277452363LP0808X
FLARNP3277452363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL003966500Medicaid
FL003966500Medicaid