Most Relevant Information
Provider Data
| NPI Number: | 1003590043 |
| Provider Name: | LUCILA SERVITJE AZCARRAGA MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/12/2023 |
| Last Updated: | 06/15/2023 |
Provider Practice Location
3100 SW 62ND AVE
MIAMI
FL
331553009
Practice Location Phone/Fax
| Phone: | 3056695873 |
| Fax: |
Provider Mailing Location
3100 SW 62ND AVE
MIAMI
FL
331553009
Provider Mailing Phone/Fax
| Phone: | 3056695873 |
| Fax: |