Individual
YORDAN BORREGO GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
10251 SW 13TH ST, MIAMI, FL 33174-2713
(305) 798-6148
Mailing address
10251SW13ST, MIANI, FL 33174-2713
(305) 798-6148
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
17-535
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B622-960-82-185-0
—
FL
Enumeration date
10/02/2017
Last updated
10/02/2017
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