Maikel Aguila Deustua, ARPN
Individual provider Active NPI Family Nurse Practitioner · Homestead, FL
NPI 1689370421 · NPPES record last updated Feb 2, 2023
Key facts
- NPI
- 1689370421
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 11012521 (FL)
- Practice address
- 23625 SW 113TH Psge
Homestead, FL 33032-7134 - Phone
- (305) 764-7158
- NPI assigned
- Feb 2, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11012521 | FL | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | 11012521 | FL | Yes |
Addresses
Primary practice location
23625 SW 113TH Psge
Homestead, FL 33032-7134
Mailing address
23625 SW 113TH Psge
Homestead, FL 33032-7134
Phone (305) 764-7158
Other providers in Homestead, FL
- Gretchen Aguero Infante
- Yurina Aguero Rivero
- Maria-Fernanda Aguerrebere
- Marcos Aguiar
- Vanessa Aguiar
- Consuelo Aguila
- Dayana Aguila
- Mileiby Aguila
- Yeniseys Aguila
- Gipsy Aguilar Agudo
All providers in Homestead, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.