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General NPI Number Information
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NPI Number | 1932985470
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Entity Type | Organization
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Legal Business Name | ABRAHAM ALFONSO REMIGIO MDPA.
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Dates
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Enumeration Date | 08/31/2023
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Last Update Date | 08/31/2023
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Provider Practice Location Address
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Address Line | 730 SE 8TH ST
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City | HIALEAH
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State | FL
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Zip | 33010-5660
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Country | US
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Telephone | 305-492-3744
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Fax |
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Provider Business Mailing Address
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Address Line | 5610 CASTLEGATE AVE
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City | DAVIE
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State | FL
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Zip | 33331-3263
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Country | US
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Telephone | 305-492-3744
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ABRAHAM ALFONSO REMIGIO
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Credential | MD
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Telephone | 305-492-3744
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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