Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 2007019204 | MO |
N | 208600000X | Surgeon | 2007019204 | MO |
Y | 2086S0129X | Vascular Surgeon | ME122930 | FL |
N | 2086S0129X | Vascular Surgeon | P7441 | TX |
NPI | 1114125069 |
---|---|
Provider Name | Dr. Edgar Luis Galinanes |
First Address | South Miami, FL 33143-4828 |
Second Address | South Miami, FL 33143-4828 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2007 |
Last Update Date | 27/05/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
J0201630 | TEXAS DPS NUMBER (01) | TX |
ME122930 | FLORIDA MEDICAL LICENSE (01) | FL |
P7441 | TEXAS MEDICAL LICENSE (01) | TX |