MEDICARE: FLEITES HIRIART & LOPEZ M.D. P.L.

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1932132131
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLEITES HIRIART & LOPEZ M.D. P.L.

Provider Business Mailing Address
First Line	:	9950 SW 107TH AVE
Second Line	:	SUITE 101
City	:	MIAMI
State	:	FL
Zip	:	33176-2799
Country	:	US
Telephone Number	:	305-274-6422
Fax Number	:	305-274-5707

Provider Business Practice Location Address
First Line	:	9950 SW 107TH AVE
Second Line	:	SUITE 101
City	:	MIAMI
State	:	FL
Zip	:	33176-2799
Country	:	US
Telephone Number	:	305-274-6422
Fax Number	:	305-274-5707

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JORGE FLEITES
Credential	:	M.D.
Telephone Number	:	305-274-6422

Provider Enumeration Date	:	07/09/2006
Last Update Date	:	03/17/2010

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