Individual
DIEGO SEBASTIAN ALTAMIRANO MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 NW 17TH ST, MIAMI, FL 33136-1119
(305) 326-6391
Mailing address
900 NW 17TH ST, MIAMI, FL 33136-1119
(305) 326-6391
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
TRN31969
—
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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