Organization
CRP PHYSICIAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NILO M SIERRA ADMINISTRATOR (VICE PRESIDENT)
(786) 426-9716
Entity
Organization
Contact information
Practice address
7400 NW 7TH ST, B111, MIAMI, FL 33126-2942
(786) 426-9716
Mailing address
7400 NW 7TH ST, B111, MIAMI, FL 33126-2942
(786) 426-9716
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
02/10/2014
Last updated
02/10/2014
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