Nicole Borrego Redondo, MD
Psychiatry & Neurology, Child & Adolescent Psychiatry in Miami, FL. Individual provider (NPI-1).
NPI number1982198909
StatusActive
Last updated in NPPESApr 29, 2024
Details
- NPI
- 1982198909
- Entity type
- Individual (NPI-1)
- Name
- Nicole Borrego Redondo
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 22, 2018
- Certification date
- Apr 29, 2024
- Last updated
- Apr 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology, Child & Adolescent Psychiatry | ME155840 | FL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
3100 Sw 62nd AveMiami, FL 33155-3009
Phone 305-666-6511
Mailing address
3100 Sw 62nd AveMiami, FL 33155-3009
Phone 305-666-6511
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