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Organization
LA CLINICA DEL PUEBLO CORP
Active
Organization
LA CLINICA DEL PUEBLO CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MASIEL MOREIRA (OWNER)
(786) 515-3156
Entity
Organization
Contact information
Practice address
10300 SUNSET DR STE 380, MIAMI, FL 33173-3020
(305) 541-5245
(305) 541-5246
Mailing address
10300 SUNSET DR STE 380, MIAMI, FL 33173-3020
(305) 418-0580
(305) 402-0941
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
2080P0214X
Pediatric Pulmonology Physician
—
—
Other
Enumeration date
01/22/2021
Last updated
04/04/2022
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