Individual
JOSE ANTONIO JALLER GRANADOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1150 NW 14TH ST FL 2, MIAMI, FL 33136-2137
(305) 243-6704
Mailing address
1150 NW 14TH ST FL 2, MIAMI, FL 33136-2137
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
166904
FL
Other
Enumeration date
02/11/2019
Last updated
06/17/2025
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