Individual
DR. JORGE LUIS BASTOS MARRERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3100 SW 62 AVE, MIAMI, FL 33155
(305) 666-6511
Mailing address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 666-6511
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101286440
VA
208000000X
Pediatrics Physician
ME 105867
FL
Other
Enumeration date
05/22/2010
Last updated
11/04/2025
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