Individual
NORBERTO AGUSTIN OLIVA-TRINCHET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BMO X- RAY
Contact information
Practice address
7124 SW 111TH PL, MIAMI, FL 33173-2135
(786) 290-0006
Mailing address
7124 SW 111TH PL, MIAMI, FL 33173-2135
(786) 290-0006
(305) 593-8369
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
BMO79930
FL
Other
Enumeration date
09/10/2012
Last updated
09/10/2012
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