Provider Demographics
NPI:1194479865
Name:ONZAGA CEPEDA, INGRID LORENA (ARNP)
Entity type:Individual
Prefix:MRS
First Name:INGRID
Middle Name:LORENA
Last Name:ONZAGA CEPEDA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6601 COCONUT DR
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33023-4907
Mailing Address - Country:US
Mailing Address - Phone:786-478-8070
Mailing Address - Fax:
Practice Address - Street 1:6601 COCONUT DR
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33023-4907
Practice Address - Country:US
Practice Address - Phone:786-478-8070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-10
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9534148163W00000X
FLAPRN11017627163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAPRN11017627OtherPRIVATE