Ivan Gonzalo Carrisquilla MD

NPI 1154373694 - Family Medicine - 207Q00000X

NPI Details
NPI 1154373694
Gender Male
Enumeration Date 05/16/2006
Last Updated 07/15/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
370 MINORCA AVE, 2ND FLOOR
PRIMECARE OF CORAL GABLES
CORAL GABLES FL, 33134, US
Phone (305) 443-3001
Fax (305) 441-9427
Business Location
370 MINORCA AVE, 2ND FLOOR
PRIMECARE OF CORAL GABLES
CORAL GABLES FL, 33134, US
Phone (305) 443-3001
Fax (786) 235-8575
Toxanomy
Taxonomy Code 207Q00000X
License State Florida
License Number ME 0069480
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According to our database, Ivan Gonzalo Carrisquilla MD NPI is 1154373694, taxonomy code is 207Q00000X and license number is ME 0069480, license state is located at Florida. Ivan Gonzalo Carrisquilla MD physically located at 370 Minorca Ave, 2nd Floor, Coral Gables FL, 33134. NPI Number Ivan Gonzalo Carrisquilla MD has the Individual type.

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1154373694 NPI number is provided on an as is basis without warranty of any kind. 1154373694 is maintained by the National Plan & Provider Enumeration System. The contents of Ivan Gonzalo Carrisquilla MD are for informational purposes only.