Individual
MS. SUSANA AGUDELO-URIBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(314) 624-4601
Mailing address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101263271
VA
208000000X
Pediatrics Physician
Primary
ME164445
FL
Other
Enumeration date
06/03/2016
Last updated
08/17/2023
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