| Dr Jorge Travieso M D P A | |
|
2369 West 52 St Hialeah FL 33016 | |
| (305) 825-0587 | |
| Not Available |
| Full Name | Dr Jorge Travieso M D P A |
|---|---|
| Speciality | General Practice |
| Location | 2369 West 52 St, Hialeah, Florida |
| Authorized Official Name and Position | Jorge Travieso (OWNER) |
| Authorized Official Contact | 3058250587 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jorge Travieso M D P A 2369 West 52 St Hialeah FL 33016 Ph: (305) 825-0587 | Dr Jorge Travieso M D P A 2369 West 52 St Hialeah FL 33016 Ph: (305) 825-0587 |
| NPI Number | 1396924841 |
|---|---|
| Provider Enumeration Date | 11/01/2007 |
| Last Update Date | 11/29/2007 |
| Medicare PECOS PAC ID | 0244313559 |
|---|---|
| Medicare Enrollment ID | O20080211000161 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396924841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (Florida) | Primary |
| Provider Name | Jorge Travieso |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1144398157 PECOS PAC ID: 3971691726 Enrollment ID: I20071113000312 |
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