MEDICARE: JORGE HELO M.D.

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
1	207Y00000X	Otolaryngology Physician	ME80323	FL

General Provider Information

NPI Number	:	1760482368
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JORGE HELO M.D.

Provider Business Mailing Address
First Line	:	4302 ALTON RD
Second Line	:	# 115
City	:	MIAMI
State	:	FL
Zip	:	33140-2891
Country	:	US
Telephone Number	:	305-531-7637
Fax Number	:

Provider Business Practice Location Address
First Line	:	4302 ALTON RD
Second Line	:	# 115
City	:	MIAMI
State	:	FL
Zip	:	33140-2891
Country	:	US
Telephone Number	:	305-531-7637
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2005
Last Update Date	:	01/18/2016

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