10D0976998 CLIA NUMBER - SONIA M JIMENEZ VICTORES ENDOCRINOLOGY

Laboratory Demographics

CLIA Number: 10D0976998

Facility Name: SONIA M JIMENEZ VICTORES ENDOCRINOLOGY

Facility Address:
315 A WEST 49TH STREET
HIALEAH, FL
ZIP 33012
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Facility Phone Number: 305 820-4426

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1548299498

Taxonomy: 207RE0101X - Internal Medicine
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

CLIA Record

Field Name	Field Value
CLIA Number	10D0976998
LAB Type	Physician Office
Facility Name	SONIA M JIMENEZ VICTORES ENDOCRINOLOGY
Street	315 A WEST 49TH STREET
City	HIALEAH
State	FL
ZIP	33012
Phone	305 820-4426
CertificateType	4
CertificateEffectiveDate	8/17/2022
CertificateExpirationDate	8/16/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024