Doctor Name: | DR. ERNESTO FELIPE |
NPI Number: | 1366499626 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | ME0082304 |
Business Practice Address: | 4980 W 10th Ave Suite 103 Hialeah, FL - 330123437 |
Business Phone Number: | 3055578444 |
Business Fax Number: | 3055575058 |
Mailing Address: | 7831 Nw 163rd St, MIAMI LAKES |
State: | FL |
Postal Code: | 330168407 |
Phone Number: | 3058192695 |
Fax Number: | 3058192695 |
NPI Enumeration Date: | 05/30/2006 |
NPI Last Update Date: | 08/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME0082304 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |