Individual
JORGE LUIS SARMIENTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
P5467
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184007607
—
TX
01
—
387683AH8E
MEDICARE
—
Enumeration date
08/01/2006
Last updated
07/01/2020
Update your record
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