Organization Name: | LEDA A ALZUGARAY MD PA |
NPI Number: | 1003259920 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LEDA A ALZUGARAY (PRESIDENT) |
Mailing Address: | 2340 Coral Way Coral Gables |
State: | FL US |
Postal Code: | 331453511 |
Phone Number: | 3058587992 |
Fax Number: | 3058588741 |
NPI Enumeration Date: | 04/10/2013 |
NPI Last Update Date: | 04/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | 96022 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |