Most Relevant Information
Provider Data
| NPI Number: | 1003384298 |
| Provider Name: | IRINA DE LEON APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | APRN11000049 |
Most Important Dates
| Enumeration Date: | 11/06/2018 |
| Last Updated: | 11/06/2018 |
Provider Practice Location
20503 SW 133RD AVE
MIAMI
FL
331776170
Practice Location Phone/Fax
| Phone: | 3057266755 |
| Fax: |
Provider Mailing Location
20503 SW 133RD AVE
MIAMI
FL
331776170
Provider Mailing Phone/Fax
| Phone: | 3057266755 |
| Fax: |