DR JORGE TRAVIESO M D P A NPI 1396924841

NPI Information

NPI: 1396924841
Provider Name: DR JORGE TRAVIESO M D P A
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
2369 WEST 52 ST
HIALEAH, FL
ZIP 33016
Phone: (305) 825-0587
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DR JORGE TRAVIESO M D P A is a general practice in Hialeah, FL. DR JORGE TRAVIESO M D P A NPI is 1396924841. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2369 WEST 52 ST
HIALEAH, FL
ZIP 33016
Phone: (305) 825-0587

The provider's authorized official is Jorge Travieso .
The authorized official title is Owner and has the following contact phone number (305) 825-0587.

The enumeration date for this NPI number is 11/1/2007 and was last updated on 11/29/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice			FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	25390	MEDICARE PIN	FLORIDA
2	F83684	MEDICARE UPIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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