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Organization
SIUL MEDICAL CENTER
Active
Organization
SIUL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS GONZALEZ OTERO (OWNER)
(786) 923-6523
Entity
Organization
Contact information
Practice address
222 NW 71ST AVE, MIAMI, FL 33126-4363
(786) 923-6523
Mailing address
222 NW 71ST AVE, MIAMI, FL 33126-4363
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/24/2026
Last updated
04/24/2026
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