Individual
FERNANDO E MELGAR SOMOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14261 SW 120TH ST STE 112, MIAMI, FL 33186-7273
(786) 763-5477
Mailing address
1395 NW 167TH ST, MIAMI GARDENS, FL 33169-5710
(305) 378-1302
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME142191
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME142191
N/A
FL
Enumeration date
02/12/2020
Last updated
03/23/2020
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