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Individual

ALBERTO ORTA IGLESIAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
14601 SW 104TH ST STE 14601, MIAMI, FL 33186-2905
(786) 275-4322
Mailing address
14996 SW 108TH TER, MIAMI, FL 33196-2507
(786) 718-5454

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
19729
PR
207Q00000X
Family Medicine Physician
Primary
ACN967
FL

Other

Enumeration date
07/19/2017
Last updated
03/14/2025
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