Provider Demographics
NPI:1053918607
Name:ALBERNAS, TERESA ANA (NP)
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:ANA
Last Name:ALBERNAS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:TERESA
Other - Middle Name:ANA
Other - Last Name:FELICIANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:15000 NE 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-2224
Mailing Address - Country:US
Mailing Address - Phone:305-467-8584
Mailing Address - Fax:
Practice Address - Street 1:5525 NW 7TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33127-1401
Practice Address - Country:US
Practice Address - Phone:305-571-9601
Practice Address - Fax:305-571-9602
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-07
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11009542363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily