Individual
JOSE A CHAMORRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME 45485
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001896
NHP
FL
05
—
043415900
—
FL
01
—
160364
WELLCARE
FL
01
—
1744855
CIGNA
FL
01
—
1896
DIMENSION
FL
01
—
218108
AVMED
FL
01
—
4072662
AETNA
FL
01
—
96934
BCBS
FL
01
—
P01551
FREEDOM
FL
01
—
P01627843
RR MEDICARE
FL
01
—
P01703687
SIMPLY
FL
01
—
P974912
OPTIMUM
FL
Enumeration date
02/06/2006
Last updated
11/10/2016
Update your record
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