Individual
JOSE MINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4410 W 16TH AVE STE 52, HIALEAH, FL 33012-7193
(305) 321-3790
Mailing address
4410 W 16TH AVE STE 52, HIALEAH, FL 33012-7193
(305) 321-3790
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
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