Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | ME108468 | FL |
NPI | 1033305701 |
---|---|
Provider Name | Dr. Eugenio Moises Guevara |
First Address | Hialeah, FL 33013-3849 |
Second Address | Hialeah, FL 33013-3849 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/09/2007 |
Last Update Date | 22/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
004468000 | (05) | FL |