Individual
MS. ALTAGRACIA RECIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
701 SW 27TH AVE, MIAMI, FL 33135-3031
(305) 642-3396
(305) 642-6622
Mailing address
701 SW 27TH AVENUE, MIAMI, FL 33135
(305) 642-3396
(305) 642-6622
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 9101967
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291288100
—
FL
Enumeration date
10/10/2006
Last updated
12/02/2010
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