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NPI Code Detail

MEDICARE: HECTOR POMBO M.D. PA

MEDICARE: HECTOR POMBO M.D. 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
1174400000XSpecialistME0070714FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11770597064OTHERFLNPI #
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770666794
Entity Type Code : Organization
Provider Name (Legal Business Name) : HECTOR POMBO M.D. PA
Provider Business Mailing Address
First Line : 7150 W 20TH AVE STE 313
Second Line :
City : HIALEAH
State : FL
Zip : 33016-5532
Country : US
Telephone Number : 305-702-9313
Fax Number : 305-702-9325
Provider Business Practice Location Address
First Line : 7150 W 20TH AVE STE 313
Second Line :
City : HIALEAH
State : FL
Zip : 33016-5532
Country : US
Telephone Number : 305-702-9313
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MR. HECTOR POMBO
Credential : M.D.
Telephone Number : 305-702-1333
Provider Enumeration Date : 10/23/2006
Last Update Date : 08/22/2020

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Directions to “HECTOR POMBO M.D. PA ” Practice Location

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