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General NPI Number Information
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NPI Number | 1144290883
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Entity Type | Organization
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Legal Business Name | SIBONEY MEDICAL CENTER INC
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Dates
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Enumeration Date | 01/25/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2742 SW 8 ST STE 10A
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City | MIAMI
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State | FL
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Zip | 33135
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Country | US
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Telephone | 305-642-2513
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Fax | 305-642-3798
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Provider Business Mailing Address
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Address Line | 2742 SW 8 ST STE 10A
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City | MIAMI
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State | FL
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Zip | 33135
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Country | US
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Telephone | 305-642-2513
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Fax | 305-642-3798
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Authorized Official
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Title or Position | PRESIDENT
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Name | JUANA MACEIRA
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Credential | PHLEBOTOMIST
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Telephone | 305-642-2513
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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