Provider Demographics
NPI:1356517445
Name:HASBUN, RENE MIGUEL (LMHC, APRN)
Entity type:Individual
Prefix:MR
First Name:RENE
Middle Name:MIGUEL
Last Name:HASBUN
Suffix:
Gender:M
Credentials:LMHC, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13284 SW 128 PATH
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-5321
Mailing Address - Country:US
Mailing Address - Phone:305-282-6897
Mailing Address - Fax:
Practice Address - Street 1:7000 SW 59TH PL
Practice Address - Street 2:
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-3528
Practice Address - Country:US
Practice Address - Phone:305-284-7505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-08
Last Update Date:2024-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 8918101YM0800X
FLAPRN11033211363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health