Doctor Name: | DR. LUIS JAVIER MESA |
NPI Number: | 1649292707 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | ME0090288 |
Business Practice Address: | 21110 Biscayne Boulevard Suite 405 Aventura, FL - 331801227 |
Business Phone Number: | 3059374400 |
Business Fax Number: | 3059315625 |
Mailing Address: | 21110 Biscayne Boulevard, Suite 405 AVENTURA |
State: | FL |
Postal Code: | 331801227 |
Phone Number: | 3059374400 |
Fax Number: | 3059315625 |
NPI Enumeration Date: | 07/24/2006 |
NPI Last Update Date: | 05/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | ME0090288 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |