Individual
DR. GILBERTO MODESTO-LEBRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3513 NW 181ST ST, MIAMI GARDENS, FL 33056-3437
(305) 917-3288
Mailing address
3513 NW 181ST ST, MIAMI GARDENS, FL 33056-3437
(305) 917-3288
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
16313
PR
Other
Enumeration date
04/05/2006
Last updated
12/28/2012
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