Gema Jerez Corp | |
401 Coral Way Ste 305 Coral Gables FL 33134-4926 | |
(786) 360-6812 | |
(786) 360-6845 |
Full Name | Gema Jerez Corp |
---|---|
Speciality | Dentist |
Location | 401 Coral Way Ste 305, Coral Gables, Florida |
Authorized Official Name and Position | Gema Hernandez-jerez (PRESIDENT) |
Authorized Official Contact | 7863606812 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gema Jerez Corp 401 Coral Way Ste 305 Coral Gables FL 33134-4926 Ph: (786) 360-6812 | Gema Jerez Corp 401 Coral Way Ste 305 Coral Gables FL 33134-4926 Ph: (786) 360-6812 |
NPI Number | 1598177016 |
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Provider Enumeration Date | 06/02/2014 |
Last Update Date | 06/02/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598177016 | NPI | - | NPPES |
010493400 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DN19881 (Florida) | Primary |
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