Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | ME49963 | FL |
NPI | 1699757484 |
---|---|
Provider Name | Dr. Jose A Birriel JR. |
First Address | Pembroke Pines, FL 33027-1761 |
Second Address | Pembroke Pines, FL 33027-1761 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2005 |
Last Update Date | 24/07/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
041931100 | (05) | FL |
D63997 | (02) | FL |