Individual
MIGUEL MARTIN LEIVA JUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
860 WASHINGTON ST, BOSTON, MA 02111-1521
(617) 636-5589
Mailing address
860 WASHINGTON ST, BOSTON, MA 02111-1521
(617) 636-5589
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
1022689
MA
Other
Enumeration date
07/13/2017
Last updated
05/16/2025
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