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Individual

ANGEL LORENZO PORRAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7800 SW 87TH AVE STE B260, MIAMI, FL 33173-3570
(305) 595-4590
(305) 279-2278
Mailing address
4733 SW 135TH CT, MIAMI, FL 33175-3856

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME160980
FL
207RI0200X
Infectious Disease Physician
Primary
ME160980
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ME160980
STATE OF FLORIDA
FL
Enumeration date
04/22/2019
Last updated
06/27/2024
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