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NPI Code Detail

MEDICARE: AVELINO A GUIRIBITEY MD PA

MEDICARE: AVELINO A GUIRIBITEY MD PA
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
1208D00000XGeneral Practice Physician0066054FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245344498
Entity Type Code : Organization
Provider Name (Legal Business Name) : AVELINO A GUIRIBITEY MD PA
Provider Business Mailing Address
First Line : 4445 W 16TH AVE STE 300
Second Line : 3990 WEST FLAGLER STREET SUITE 103 MIAMI FL 33134
City : HIALEAH
State : FL
Zip : 33012-7190
Country : US
Telephone Number : 305-826-5887
Fax Number : 305-362-1559
Provider Business Practice Location Address
First Line : 4445 W 16TH AVE STE 300
Second Line :
City : HIALEAH
State : FL
Zip : 33012-7190
Country : US
Telephone Number : 305-826-5887
Fax Number : 305-362-1559
Authorized Official
Title or Position : PRESIDENT
Name : AVELINO A GUIRIBITEY
Credential : MD
Telephone Number : 305-826-5887
Provider Enumeration Date : 08/17/2006
Last Update Date : 01/13/2017

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Directions to “AVELINO A GUIRIBITEY MD PA ” Practice Location

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