Individual
DR. LUIS IGNACIO BECERRA-CABAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21000 NE 28TH AVE, SUITE 205, AVENTURA, FL 33180-1421
(305) 933-5993
(305) 933-9415
Mailing address
PO BOX 160010, HIALEAH, FL 33016-0001
(786) 924-1311
(786) 924-1313
Taxonomy
Speciality
Code
Description
License number
State
207WX0109X
Neuro-ophthalmology Physician
ME109502
FL
2084N0400X
Neurology Physician
A48520
CA
2084N0400X
Neurology Physician
Primary
ME109502
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003784500
—
FL
Enumeration date
01/31/2006
Last updated
05/02/2023
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