Michelle Laurencio
Physician Assistant in Hialeah, FL. Individual provider (NPI-1).
NPI number1407445463
StatusActive
Last updated in NPPESJan 14, 2021
Details
- NPI
- 1407445463
- Entity type
- Individual (NPI-1)
- Name
- Michelle Laurencio
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 14, 2021
- Certification date
- Jan 14, 2021
- Last updated
- Jan 14, 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 |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
2468 W 72nd StHialeah, FL 33016-6508
Phone 305-725-8584
Mailing address
2468 W 72nd StHialeah, FL 33016-6508
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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All 56 Physician Assistant providers in Hialeah · All 15,191 providers in Hialeah
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