San Emeterio, Elena Martha

San Emeterio, Elena Martha is an sole proprietor health care provider with primary practice located at 3805 W 20Th Ave Suite 105, Hialeah FL 33012-4532. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. San Emeterio, Elena Martha can be contacted via phone (305) 557-2277.

Contact Information

Primary practice address
3805 W 20Th Ave Suite 105 Hialeah FL 33012-4532
Phone: (305) 557-2277
Fax: (305) 557-2278
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP487942 Florida

Profile Details

NPI number 1295793461
LBN Legal business name San Emeterio, Elena Martha
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2006
Last updated Feb 26th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295793461 NPPES
Florida MEDICAID 009883800

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