Individual
DR. EFREN BUITRAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3650 NW 82ND AVE, SUITE 208, DORAL, FL 33166-6658
(305) 406-3596
(305) 406-3599
Mailing address
3650 NW 82ND AVE, SUITE 208, DORAL, FL 33166-6658
(305) 406-3596
(305) 406-3599
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ME 92356
FL
2086S0129X
Vascular Surgery Physician
ME92356
FL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME92356
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000215400
—
FL
Enumeration date
05/30/2007
Last updated
03/25/2021
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