Individual
DAYLEN SIRE BURGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 669-5873
Mailing address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 669-5873
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
ME147940
FL
2085R0202X
Diagnostic Radiology Physician
147940
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2016
Last updated
10/23/2024
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