Pavel Eduardo De la Noval Lorenzo, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11001599 Issued in FL

Practice address

711 S Royal Poinciana Blvd Apt 21
Miami Springs, FL 33166-7325

Phone

(786) 556-2395

NPI assigned

Feb 24, 2019

Last updated

Feb 24, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1550966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550966400000",
    "number": "1386101509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 S ROYAL POINCIANA BLVD APT 21",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331667325",
            "telephone_number": "786-556-2395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 S ROYAL POINCIANA BLVD APT 21",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331667325",
            "telephone_number": "786-556-2395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA NOVAL LORENZO",
        "first_name": "PAVEL",
        "middle_name": "EDUARDO",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-24",
        "last_updated": "2019-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11001599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yahima Crespo
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• Odalys Davila
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• Yadira Delgado Gonzalez
• Belkis Delgado, M.D.
• Marlen Delgado, MHT
• Oscar De Jesus Dellet Babastro
• Stephanie Anne Delvalle

• Family Nurse Practitioner in Miami Springs, FL
• Providers in Miami Springs, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.