Provider Demographics
NPI:1194937243
Name:AROSEMENA, MYRTA L
Entity type:Individual
Prefix:MRS
First Name:MYRTA
Middle Name:L
Last Name:AROSEMENA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26143 S.W. 138CT.
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032-6754
Mailing Address - Country:US
Mailing Address - Phone:305-710-8086
Mailing Address - Fax:305-257-4295
Practice Address - Street 1:26143 S.W. 138CT.
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33032-6754
Practice Address - Country:US
Practice Address - Phone:305-710-8086
Practice Address - Fax:305-257-4295
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health