Most Relevant Information
Provider Data
| NPI Number: | 1003291600 |
| Provider Name: | JUAN ANTONIO SAN BLAS VALDES |
| Entity Type: | Individual |
| Taxonomy Code: | 282N00000X |
| Specialty: | General Acute Care Hospital |
| License Number: | 13-664 |
Most Important Dates
| Enumeration Date: | 07/23/2015 |
| Last Updated: | 07/23/2015 |
Provider Practice Location
100 SW 110TH AVE APT 125
MIAMI
FL
331741255
Practice Location Phone/Fax
| Phone: | 3055600853 |
| Fax: |
Provider Mailing Location
100 SW 110TH AVE APT 125
MIAMI
FL
331741255
Provider Mailing Phone/Fax
| Phone: | 3055600853 |
| Fax: |