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NPI Code Detail

MEDICARE: JHOAN BARNABY ROZAS FLORES M.D.

MEDICARE: JHOAN BARNABY ROZAS FLORES M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2207RN0300XNephrology PhysicianME151687FL

General Provider Information

NPI Number : 1114374311
Entity Type Code : Individual
Provider Name (Legal Business Name) : JHOAN BARNABY ROZAS FLORES M.D.
Provider Business Mailing Address
First Line : 6534 NW 170TH LN
Second Line :
City : HIALEAH
State : FL
Zip : 33015-4632
Country : US
Telephone Number : 786-346-3712
Fax Number :
Provider Business Practice Location Address
First Line : 1611 NW 12TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33136-1005
Country : US
Telephone Number : 786-346-3712
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2016
Last Update Date : 10/28/2021

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