Individual
GISELA HENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1150 NW 14TH ST, SUITE 407, MIAMI, FL 33136-2137
(305) 243-6837
(305) 243-8470
Mailing address
1150 NW 14TH ST, SUITE 407, MIAMI, FL 33136-2137
(305) 243-6837
(305) 243-8470
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
MFC1612
FL
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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