Individual
DR. LIDIA ROSA BERMUDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8805 NW 179TH LN, HIALEAH, FL 33018-6509
(305) 300-5501
(305) 824-3774
Mailing address
8805 NW 179TH LN, HIALEAH, FL 33018-6509
(305) 300-5501
(305) 824-3774
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
ME0091458
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
68549
BLUE CROSS BLUE SHIELD FLA
FL
01
—
K7409
MEDICARE GROUP PIN
FL
Enumeration date
11/13/2006
Last updated
05/27/2008
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