Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | ME133199 | FL |
N | 207R00000X | Internist | 55768 | AZ |
N | 111NI0900X | Internist | 55768 | AZ |
NPI | 1083162580 |
---|---|
Provider Name | Juan Carlos Murillo Delgado |
First Address | Miami, FL 33173-3570 |
Second Address | Homestead, FL 33033-4707 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2016 |
Last Update Date | 26/02/2021 |