Individual
DR. JORGE E RAVELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2140 W 68TH ST, SUITE 307, HIALEAH, FL 33016-1815
(305) 231-1664
(305) 231-9882
Mailing address
2140 W 68TH ST, SUITE 307, HIALEAH, FL 33016-1815
(305) 231-1664
(305) 231-9882
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME 56847
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
373282700
—
FL
01
—
650773933
TAX ID
FL
Enumeration date
01/23/2006
Last updated
07/27/2010
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