Individual
PAVEL L HURTADO
Active
Individual
PAVEL L HURTADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L.6213R
AL
390200000X
Student in an Organized Health Care Education/Training Program
16519-I
PR
Other
Enumeration date
05/18/2023
Last updated
09/23/2024
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