Daniel J Basulto, MD

NPI #1962413385 in Hialeah, Florida

Provider Information

NPI Number: 1962413385
Entity Type: Individual
Name: Daniel J Basulto, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: General Practice
Credential: MD
Enumeration Date: Aug 10, 2006
Last Updated: Oct 9, 2020

Practice Location

Address: 4578 W 12TH AVE
City: Hialeah
State: Florida
ZIP Code: 33012-3325
Phone: (305) 828-1989

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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