Dr Jorge Travieso M D P a

NPI #1396924841 in Hialeah, Florida

Provider Information

NPI Number: 1396924841
Entity Type: Organization
Organization Name: Dr Jorge Travieso M D P a
Primary Specialty: General Practice
Enumeration Date: Nov 1, 2007
Last Updated: Nov 29, 2007

Practice Location

Address: 2369 WEST 52 ST
City: Hialeah
State: Florida
ZIP Code: 33016
Phone: (305) 825-0587

Authorized Official

Name: DR. JORGE TRAVIESO I, M D P A
Title: OWNER
Phone: (305) 825-0587

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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