Organization
DR JORGE TRAVIESO M D P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE TRAVIESO I M D P A (OWNER)
(305) 825-0587
Entity
Organization
Contact information
Practice address
2369 WEST 52 ST, HIALEAH, FL 33016
(305) 825-0587
Mailing address
2369 WEST 52 ST, HIALEAH, FL 33016
(305) 825-0587
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
FL
Other
Enumeration date
11/01/2007
Last updated
11/29/2007
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