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General NPI Number Information
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NPI Number | 1730050253
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Entity Type | Organization
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Legal Business Name | IMAE MEDICAL SOLUTIONS LLC
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Dates
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Enumeration Date | 09/16/2025
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 7108 SW 112TH PL
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City | MIAMI
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State | FL
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Zip | 33173-1961
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Country | US
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Telephone | 347-898-3038
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Fax |
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Provider Business Mailing Address
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Address Line | 8306 MILLS DR
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City | MIAMI
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State | FL
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Zip | 33183-4838
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Country | US
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Telephone | 347-898-3038
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Fax |
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Authorized Official
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Title or Position | PROVIDER/OWNER
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Name | DR. JORGE IMAE TIRADO BIENTZ
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Credential | MD
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Telephone | 347-898-3038
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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 |
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License Number State |
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