Provider Demographics
NPI:1720886401
Name:CORRIA VENDRELL, MONICA MARIA (ARNP)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:MARIA
Last Name:CORRIA VENDRELL
Suffix:
Gender:
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3379 W 90TH TER
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33018-2007
Mailing Address - Country:US
Mailing Address - Phone:305-815-6699
Mailing Address - Fax:
Practice Address - Street 1:8532 SW 8TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-4054
Practice Address - Country:US
Practice Address - Phone:786-927-8048
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-06
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11038130363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health