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NPI Code Detail

MEDICARE: JORGE TRIANA

MEDICARE:   JORGE  TRIANA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse Practitioner9278795FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700125143
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORGE TRIANA
Provider Business Mailing Address
First Line : 10205 SW 34TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33165-3805
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10205 SW 34TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33165-3805
Country : US
Telephone Number : 786-271-3524
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2013
Last Update Date : 04/25/2019

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Directions to “ JORGE TRIANA ” Practice Location

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