Healthcare Provider Details

I. General information

NPI: 1760482368
Provider Name (Legal Business Name): JORGE HELO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2005
Last Update Date: 01/18/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4302 ALTON RD # 115
MIAMI FL
33140-2891
US

IV. Provider business mailing address

4302 ALTON RD # 115
MIAMI FL
33140-2891
US

V. Phone/Fax

Practice location:
  • Phone: 305-531-7637
  • Fax:
Mailing address:
  • Phone: 305-531-7637
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberME80323
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: