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EUGENIO E FIALLOS MD PA NPI 1912278946


NPI Information

NPI: 1912278946
Provider Name: EUGENIO E FIALLOS MD PA
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
12451 SW 21ST LN
MIAMI, FL
ZIP 33175
Phone: (305) 559-2173
Get Directions

EUGENIO E FIALLOS MD PA is a vascular surgery surgery in Miami, FL. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. EUGENIO E FIALLOS MD PA NPI is 1912278946. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12451 SW 21ST LN
MIAMI, FL
ZIP 33175-708
Phone: (305) 559-2173

The provider's authorized official is Eugenio E Fiallos .
The authorized official title is President and has the following contact phone number (305) 559-2173.

The enumeration date for this NPI number is 1/23/2012 and was last updated on 1/23/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0129XSurgeryVascular SurgeryME36054FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11245379577OTHERFLORIDANPI TYPE 1
295432MEDICARE PINFLORIDA

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: 4/28/2024

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