Most Relevant Information
Provider Data
| NPI Number: | 1003198144 |
| Provider Name: | YISSEL JORGE PUIG |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | ME119374 |
Most Important Dates
| Enumeration Date: | 09/14/2011 |
| Last Updated: | 09/13/2021 |
Provider Practice Location
445 E 25TH ST
HIALEAH
FL
330133810
Practice Location Phone/Fax
| Phone: | 3056245366 |
| Fax: |
Provider Mailing Location
445 E 25TH ST
HIALEAH
FL
330133810
Provider Mailing Phone/Fax
| Phone: | 3056245366 |
| Fax: | 3056313803 |
Suggested EMR
Family Practice EMR