Provider Demographics
NPI:1902851751
Name:DESCAMPS, HECTOR (ARNP)
Entity Type:Individual
Prefix:
First Name:HECTOR
Middle Name:
Last Name:DESCAMPS
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 1:550 SW 27TH AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-2972
Mailing Address - Country:US
Mailing Address - Phone:786-291-1801
Mailing Address - Fax:305-644-4146
Practice Address - Street 1:550 SW 27TH AVE STE 4
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-2972
Practice Address - Country:US
Practice Address - Phone:786-291-1801
Practice Address - Fax:305-644-4146
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-23
Last Update Date:2012-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 9247768363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health