Individual
JUAN PABLO ALDERUCCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 243-6604
Mailing address
1475 NW 12TH AVE # D8-4, MIAMI, FL 33136-1002
(305) 243-6604
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ME131937
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/20/2013
Last updated
06/26/2017
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