Organization
MIAMI CARDIOVASCULAR SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ILDEFONSO JOSE MAS MD (OWNER)
(786) 497-2710
Entity
Organization
Contact information
Practice address
3181 CORAL WAY, 6TH FLOOR, CORAL GABLES, FL 33145-3216
(786) 497-2710
(786) 497-2711
Mailing address
3181 CORAL WAY, 6TH FLOOR, MIAMI, FL 33145
(786) 497-2710
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME 49087
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME 49087
MEDICAL LICENSE NUMBER
FL
Enumeration date
02/13/2009
Last updated
02/24/2009
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