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General NPI Number Information
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NPI Number | 1356382642
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Entity Type | Individual
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Provider Name | JUAN ALBERTO PRIETO M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 6741 SW 24TH ST STE 5051
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City | MIAMI
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State | FL
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Zip | 33155-1762
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Country | US
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Telephone | 786-269-9495
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Fax | 305-269-7377
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Provider Business Mailing Address
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Address Line | 14440 SW 9 ST
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City | MIAMI
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State | FL
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Zip | 33184
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Country | US
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Telephone | 786-269-5495
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Fax | 305-225-8239
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME92259
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License Number State | FL
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