Organization Name: | DORAL HEALTH SOLUTIONS INC |
NPI Number: | 1962743120 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAQUELINE BRIZUELA (OWNER) |
Mailing Address: | 8180 Nw 36th St Suite 230 Doral |
State: | FL US |
Postal Code: | 331666645 |
Phone Number: | 7862086357 |
Fax Number: | 3055938369 |
NPI Enumeration Date: | 03/12/2013 |
NPI Last Update Date: | 03/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |