Provider Demographics
NPI:1487100772
Name:OSUNA, ALEJANDRO (APRN)
Entity type:Individual
Prefix:
First Name:ALEJANDRO
Middle Name:
Last Name:OSUNA
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 S FEDERAL HWY APT 432
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-4951
Mailing Address - Country:US
Mailing Address - Phone:786-681-2001
Mailing Address - Fax:
Practice Address - Street 1:131 S FEDERAL HWY APT 432
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-4951
Practice Address - Country:US
Practice Address - Phone:786-681-2001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-28
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI16-489246ZC0007X
FLAPRN11034488363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant