Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mauricio Antezana

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063876399

Mauricio Antezana is a Student in an Organized Health Care Education/Training Program in Atlantis, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Florida and New York.

Licensed in
FL, NY
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Atlantis, FL

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 111 E 210th St, Bronx, NY 10467-2401 — (718) 920-4321

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN22246 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (NY)

Record details

NPI number1063876399
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 12, 2016
Last updated in NPPESJuly 21, 2022

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