Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 245766 | NY |
N | 208000000X | Pediatrician | ME99374 | FL |
Y | 2080P0205X | Pediatric Endocrinologist | ME99374 | FL |
NPI | 1073749057 |
---|---|
Provider Name | Lysette Iglesias |
First Address | Miami Lakes, FL 33016-1636 |
Second Address | Miami Lakes, FL 33016-1559 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2009 |
Last Update Date | 25/02/2015 |