Individual
SERGIO SAN JOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2620 W 76TH ST APT 206, HIALEAH, FL 33016-5649
(786) 897-0578
Mailing address
2620 W 76TH ST APT 206, HIALEAH, FL 33016-5649
(786) 897-0578
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
OS12497
FL
Other
Enumeration date
04/01/2011
Last updated
10/18/2016
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