Individual
ELIZABETH DE LAS MERCEDES REGUERO HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-1280
Mailing address
2623 SW 124TH AVE, MIAMI, FL 33175-2144
(305) 987-4428
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/21/2020
Last updated
03/21/2020
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