Provider Demographics
NPI:1356744817
Name:MON, MILAGROS DE LAS MERCEDES (ARNP)
Entity type:Individual
Prefix:
First Name:MILAGROS
Middle Name:DE LAS MERCEDES
Last Name:MON
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 1:12365 SW 18TH ST
Mailing Address - Street 2:APT. 412
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-1550
Mailing Address - Country:US
Mailing Address - Phone:305-303-4957
Mailing Address - Fax:
Practice Address - Street 1:12365 SW 18TH ST
Practice Address - Street 2:APT. 412
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-1550
Practice Address - Country:US
Practice Address - Phone:305-303-4957
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-29
Last Update Date:2020-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9232236363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily