Provider Demographics
NPI:1841642071
Name:PRINCE, AMEL MARIA
Entity type:Individual
Prefix:
First Name:AMEL
Middle Name:MARIA
Last Name:PRINCE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:AMEL
Other - Middle Name:MARIA
Other - Last Name:PRINCE RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:61 SW 132ND CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33184-1175
Mailing Address - Country:US
Mailing Address - Phone:786-531-1759
Mailing Address - Fax:
Practice Address - Street 1:61 SW 132ND CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33184-1175
Practice Address - Country:US
Practice Address - Phone:786-531-1759
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-12
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11035735363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily