Individual
DR. LUIS JAVIER VICTORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
315 W 49TH ST, HIALEAH, FL 33012-3715
(305) 820-4426
(305) 820-4436
Mailing address
315 W 49TH ST, HIALEAH, FL 33012-3715
(305) 820-4426
(305) 820-4436
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME79770
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259075100
—
FL
Enumeration date
07/03/2006
Last updated
07/08/2007
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