Healthcare Provider Details

I. General information

NPI: 1083815179
Provider Name (Legal Business Name): MARGARITA ROSA LLINAS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2007
Last Update Date: 08/16/2024
Certification Date: 08/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1475 NW 12TH STREET
MIAMI FL
33136
US

IV. Provider business mailing address

1611 NW 12TH AVE
MIAMI FL
33136-1005
US

V. Phone/Fax

Practice location:
  • Phone: 305-243-4900
  • Fax:
Mailing address:
  • Phone: 305-243-7688
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME99679
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: