Individual
JAVIER ENRIQUE DE LA BARCA SUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DOCTOR OF DENTISTRY
Contact information
Practice address
750 E 25TH ST, HIALEAH, FL 33013-3817
(305) 694-5400
Mailing address
1341 W 40TH ST, HIALEAH, FL 33012-4780
(786) 720-0941
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DRPM2274
FL
390200000X
Student in an Organized Health Care Education/Training Program
DRPM2274
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37012336
UNIVERSITY OF FLORIDA
FL
Enumeration date
03/15/2021
Last updated
05/08/2021
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