Individual
HILARIO MANUEL PRIETO HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
7205 SW 163RD PL, MIAMI, FL 33193-5156
(786) 797-4472
Mailing address
7205 SW 163RD PL, MIAMI, FL 33193-5156
(786) 797-4472
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
15-173
FL
Other
Enumeration date
12/11/2019
Last updated
12/11/2019
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