Provider Demographics
NPI:1780961458
Name:TAMAYO, VERONICA MARGARITA (ARNP)
Entity type:Individual
Prefix:MS
First Name:VERONICA
Middle Name:MARGARITA
Last Name:TAMAYO
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 1:8900 N KENDALL DR
Mailing Address - Street 2:CRITICAL CARE
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2118
Mailing Address - Country:US
Mailing Address - Phone:786-596-6513
Mailing Address - Fax:786-596-7590
Practice Address - Street 1:8900 N KENDALL DR
Practice Address - Street 2:CRITICAL CARE
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2118
Practice Address - Country:US
Practice Address - Phone:786-596-6513
Practice Address - Fax:786-596-7590
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-09
Last Update Date:2020-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9227250363LA2100X, 363LC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LC0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care