Provider Demographics
NPI:1336958255
Name:LAMERE DEL RIO, BERNARDO (ARNP)
Entity type:Individual
Prefix:
First Name:BERNARDO
Middle Name:
Last Name:LAMERE DEL RIO
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1255 W 49TH PL APT H202
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-3106
Mailing Address - Country:US
Mailing Address - Phone:786-406-4419
Mailing Address - Fax:
Practice Address - Street 1:860 NW 42ND AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-4172
Practice Address - Country:US
Practice Address - Phone:305-317-6603
Practice Address - Fax:305-428-2602
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-06
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLF01250024363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty