Organization
LUIS JUAREZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS JUAREZ MD (OWNER)
(305) 825-9057
Entity
Organization
Contact information
Practice address
230 W 49 ST, HIALEAH, FL 33012-0000
(305) 825-9057
(305) 825-3135
Mailing address
230 W 49 ST, HIALEAH, FL 33012-0000
(305) 825-9057
(305) 825-3135
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
067704300
—
FL
Enumeration date
11/17/2006
Last updated
07/19/2011
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