Diana Mancebo, RN
Nurse Practitioner, Family in Miami, FL. Individual provider (NPI-1).
NPI number1083032007
StatusActive
Last updated in NPPESOct 26, 2021
Details
- NPI
- 1083032007
- Entity type
- Individual (NPI-1)
- Name
- Diana Mancebo
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 7, 2014
- Certification date
- Oct 26, 2021
- Last updated
- Oct 26, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | APRN11008141 | FL | Yes |
Practice location
1611 Nw 12th AveMiami, FL 33136-1005
Phone 786-239-4273
Mailing address
1611 Nw 12th AveMiami, FL 33136-1005
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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