Individual
ALBERTO RAFAEL IGLESIAS VERGARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1951 SW 172ND AVE, SUITE 408, MIRAMAR, FL 33029
(954) 538-5470
(954) 538-5477
Mailing address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025-3925
(954) 276-5685
(954) 985-7074
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME98717
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279848400
—
FL
Enumeration date
05/27/2006
Last updated
03/17/2021
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