Organization
POLICLINICO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORGE BRACERAS (PRESIDENT)
(786) 365-7979
Entity
Organization
Contact information
Practice address
11025 SW 84TH ST, COTTAGE 12, MIAMI, FL 33173-3857
(786) 534-8080
(786) 276-7008
Mailing address
11025 SW 84TH ST, COTTAGE 12, MIAMI, FL 33173-3857
(786) 534-8080
(786) 276-7008
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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