Search › Florida › 363LA2100X
Jomary Santiago Illas, AGACNP-BC
NPI 1720850167 · on the registry since 2023 · sole proprietor
Practice
- Address
- 395 W 42nd St
Hialeah, FL 33012 - Phone
- (786) 340-7538
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Also registered as
- 363LA2200X
363LC1500X
363LG0600X
363LP2300X - Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-10-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida