| NPI | 1669157442 |
|---|---|
| Former Name | LUIS ENRIQUE BUENO MARRERO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11026280) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL 11026280) |
| Enumeration Date | 2023-06-19 |
| Last Update Date | 2023-08-23 |