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Individual

MRS. LUISA CERVANTES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3100 SW 62ND AVE, RADIOLOGY DEPARTMENT, MIAMI, FL 33155-3009
(305) 662-8293
(305) 667-8689
Mailing address
3100 S W 62 AVENUE, RADIOLOGY DEPARTMENT, MIAMI, FL 33155
(305) 662-8293
(305) 667-8689

Taxonomy

Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
ME92358
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
273933000
FL
Enumeration date
07/20/2006
Last updated
02/02/2012
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