Dr. Rubens De La Pena Mir, APRN
Family Medicine in Saint Cloud, FL. Individual provider (NPI-1).
NPI number1982182184
StatusActive
Last updated in NPPESOct 24, 2024
Details
- NPI
- 1982182184
- Entity type
- Individual (NPI-1)
- Name
- Dr. Rubens De La Pena Mir
- Credential
- APRN
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 31, 2018
- Certification date
- Oct 24, 2024
- Last updated
- Oct 24, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 9401713 | FL | Yes |
| 363LP0200X | Nurse Practitioner, Pediatrics | APRN9401713 | FL |
Practice location
933 Brown Chapel RdSaint Cloud, FL 34769-2043
Phone 786-970-2112
Mailing address
4212 Flora Vista DrOrlando, FL 32837-4794
Phone 786-970-2112
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