Serguera, Ilse Leticia

Serguera, Ilse Leticia is an sole proprietor health care provider with primary practice located at 114 Se 21St Ter , Homestead FL 33033-7236. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Serguera, Ilse Leticia can be contacted via phone (305) 988-4188.

Contact Information

Primary practice address
114 Se 21St Ter Homestead FL 33033-7236
Phone: (305) 988-4188
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN Florida

Profile Details

NPI number 1962005140
LBN Legal business name Serguera, Ilse Leticia
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 19th, 2020
Last updated Nov 19th, 2020 - about 6 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 1962005140 NPPES
Florida MEDICAID 786

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