Healthcare Provider Details

I. General information

NPI: 1992712913
Provider Name (Legal Business Name): LLORET FIALKOW & GOMEZ MDS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7400 SW 87TH AVE SUITE 100
MIAMI FL
33173
US

IV. Provider business mailing address

7400 SW 87TH AVE SUITE 100
MIAMI FL
33173
US

V. Phone/Fax

Practice location:
  • Phone: 305-275-8200
  • Fax: 305-274-7812
Mailing address:
  • Phone: 305-275-8200
  • Fax: 305-274-7812

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: RAMON LUIS LLORET
Title or Position: PRESIDENT
Credential: MD
Phone: 305-275-8200