Individual
HUMBERTO JESUS LEZCANO ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
149 W 21ST ST, HIALEAH, FL 33010-2615
(786) 453-8720
(786) 219-4355
Mailing address
7452 W 29TH WAY, HIALEAH, FL 33018-5334
(786) 444-4711
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
023919
PR
208D00000X
General Practice Physician
Primary
ACN1637
FL
390200000X
Student in an Organized Health Care Education/Training Program
16520-I
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07-231
SURGICAL ASSISTANT
FL
Enumeration date
08/07/2008
Last updated
07/12/2024
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