Organization
ALFREDO HEVIA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN LOPEZ (BILLING AGENT)
(305) 251-3991
Entity
Organization
Contact information
Practice address
10390 SW 97TH ST, MIAMI, FL 33176-2715
(718) 200-4016
Mailing address
10390 SW 97TH ST, MIAMI, FL 33176-2715
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME89871
FL
Other
Enumeration date
05/19/2016
Last updated
05/19/2016
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