| Jorge E. Lievano, M.d., P.a. | |
|
7600 S Red Rd Suite 225 South Miami FL 33143-5428 | |
| (305) 854-3210 | |
| (305) 663-1118 |
| Full Name | Jorge E. Lievano, M.d., P.a. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 7600 S Red Rd, South Miami, Florida |
| Authorized Official Name and Position | Jorge Enrique Lievano (PRESIDENT) |
| Authorized Official Contact | 3058543210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jorge E. Lievano, M.d., P.a. 7600 S Red Rd Suite 225 South Miami FL 33143-5428 Ph: (305) 854-3210 | Jorge E. Lievano, M.d., P.a. 7600 S Red Rd Suite 225 South Miami FL 33143-5428 Ph: (305) 854-3210 |
| NPI Number | 1568590800 |
|---|---|
| Provider Enumeration Date | 02/28/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568590800 | NPI | - | NPPES |
| 50775 | Other | FL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME 27519 (Florida) | Primary |
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