Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QS0010X | Family Doctor - Sports Medicine | ME0044890 | FL |
NPI | 1073566170 |
---|---|
Provider Name | Dr. Ramon M Garcia-Septien |
First Address | Hialeah, FL 33012-3197 |
Second Address | Hialeah, FL 33012-3148 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2006 |
Last Update Date | 09/06/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
069640400 | (05) | FL |
D79003 | (02) | FL |
ME0044890 | MEDICAL DOCTOR (01) | FL |