Individual
GERARDO MATOSES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6850 W 14TH CT APT 7A, HIALEAH, FL 33014-4541
(786) 738-3588
Mailing address
6850 W 14TH CT APT 7A, HIALEAH, FL 33014-4541
(786) 738-3588
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
07/08/2019
Last updated
07/08/2019
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