Provider Demographics
NPI:1801439435
Name:HANSMANN, AURA CRISTINA
Entity type:Individual
Prefix:
First Name:AURA
Middle Name:CRISTINA
Last Name:HANSMANN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 COLLINS AVE APT 411
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-4711
Mailing Address - Country:US
Mailing Address - Phone:404-353-4501
Mailing Address - Fax:
Practice Address - Street 1:2600 COLLINS AVE APT 411
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-4711
Practice Address - Country:US
Practice Address - Phone:404-353-4501
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-27
Last Update Date:2019-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
14855174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty