Organization Name: | HILARIO A. ISABA MD PA |
NPI Number: | 1326497918 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HILARIO A ISABA (MD) |
Mailing Address: | 7234 Bedlington Rd Miami Lakes |
State: | FL US |
Postal Code: | 330148000 |
Phone Number: | 7862716032 |
Fax Number: | 3056461039 |
NPI Enumeration Date: | 06/06/2016 |
NPI Last Update Date: | 06/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME049241 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |