Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | PO 1534 | FL |
NPI | 1093713232 |
---|---|
Provider Name | Dr. Luis Bernardo Eiber |
First Address | Hialeah, FL 33012-7194 |
Second Address | Hialeah, FL 33012-7194 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2005 |
Last Update Date | 01/02/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
390348600 | (05) | FL |
UO2610 | (02) | FL |