Organization
POLICLINICO SANTA CLARA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY LORA MD (OWNER)
(305) 631-9903
Entity
Organization
Contact information
Practice address
2742 SW 8TH ST, SUITE 19, MIAMI, FL 33135-4650
(305) 631-9903
(305) 649-6364
Mailing address
2742 SW 8TH ST, SUITE 19, MIAMI, FL 33135-4650
(305) 631-9903
(305) 649-6364
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
03/09/2006
Last updated
09/22/2008
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