MEDICARE: AVELINO A GUIRIBITEY MD

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
1	207N00000X	Dermatology Physician	0066054	FL
2	208D00000X	General Practice Physician	0066054	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1689625766
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AVELINO A GUIRIBITEY MD

Provider Business Mailing 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

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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/13/2006
Last Update Date	:	02/22/2017

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Directions to “ AVELINO A GUIRIBITEY MD” Practice Location

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