Healthcare Provider Details

I. General information

NPI: 1477092898
Provider Name (Legal Business Name): FIBERS NEUROLOGICAL INSTITUTE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2017
Last Update Date: 03/10/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2601 SW 37TH AVE STE 905
MIAMI FL
33133-2751
US

IV. Provider business mailing address

PO BOX 402368
MIAMI BEACH FL
33140-0368
US

V. Phone/Fax

Practice location:
  • Phone: 786-607-5911
  • Fax: 786-329-6483
Mailing address:
  • Phone: 786-607-5911
  • Fax: 786-329-6483

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberME94748
License Number StateFL

VIII. Authorized Official

Name: DR. SANTIAGO D FIGUEREO
Title or Position: PRESIDENT
Credential: M.D.
Phone: 786-607-5911