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NPI Code Detail

MEDICARE: JORGE LUIS DAVILA SANCHEZ

MEDICARE: JORGE LUIS DAVILA SANCHEZ
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

General Provider Information

NPI Number : 1952151144
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORGE LUIS DAVILA SANCHEZ
Provider Business Mailing Address
First Line : 9260 W 33RD WAY
Second Line :
City : HIALEAH
State : FL
Zip : 33018-2069
Country : US
Telephone Number : 178-680-6018
Fax Number :
Provider Business Practice Location Address
First Line : 4225 W 20TH AVE FL 33012
Second Line :
City : HIALEAH
State : FL
Zip : 33012-5826
Country : US
Telephone Number : 786-828-7552
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2024
Last Update Date : 03/22/2024

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Directions to “ JORGE LUIS DAVILA SANCHEZ ” Practice Location

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