Individual provider · Type 1 NPI
Jomary Santiago Illas, AGACNP-BC
Acute Care Nurse Practitioner · Hialeah, FL
NPI number
1720850167
Active
Practice location
395 W 42nd St
Hialeah, FL 33012-3914
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 11026344 (FL) |
| Community Health Nurse Practitioner | 363LC1500X | 11026344 (FL) |
| Gerontology Nurse Practitioner | 363LG0600X | 11026344 (FL) |
| Primary Care Nurse Practitioner | 363LP2300X | 11026344 (FL) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | 11026344 (FL) |
Acute Care Nurse Practitioner: Definition to come...
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- Victoria Babol, ARNPAcute Care Nurse Practitioner Hialeah, FL NPI 1265563415
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About NPI 1720850167
Jomary Santiago Illas, AGACNP-BC's National Provider Identifier is 1720850167, issued on Oct 30, 2023. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Hialeah, FL. The record was last updated on Oct 30, 2023.