Organization
KIDNEY SPECIALTY CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN CUELLAR MD (OWNER)
(305) 548-4063
Entity
Organization
Contact information
Practice address
219 NW 12TH AVE, SUITE C5, MIAMI, FL 33128-2205
(305) 548-4063
(305) 545-1515
Mailing address
219 NW 12TH AVE, SUITE C5, MIAMI, FL 33128-2205
(305) 548-4000
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
05/10/2012
Last updated
09/24/2021
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