MARISELA C JAQUEZ-GUTIERREZ LLC NPI 1770910911

NPI Information

MARISELA C JAQUEZ-GUTIERREZ LLC is a clinic center in Doral, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). MARISELA C JAQUEZ-GUTIERREZ LLC NPI is 1770910911. The provider is registered as an organization entity type.

The provider's business location address is:

8181 NW 36TH ST
SUITE 1906
DORAL, FL
ZIP 33166-671
Phone: (305) 392-6784
Fax: (305) 392-6784

The provider's authorized official is Marisela C Jaquez-gutierrez .
The authorized official title is President and has the following contact phone number (305) 392-6784.

The enumeration date for this NPI number is 10/2/2013 and was last updated on 10/2/2013.

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:

Other Identifiers

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

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