Carrillo Moya, Jorge Luis

Carrillo Moya, Jorge Luis is an individual health care provider with primary practice located at 1321 Nw 14Th St Bldg Suite505 , Miami FL 33125-1673. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Carrillo Moya, Jorge Luis can be contacted via phone (305) 243-6704.

Contact Information

Primary practice address
1321 Nw 14Th St Bldg Suite505 Miami FL 33125-1673
Fax: (305) 243-6191
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X HSE36492 Florida

Profile Details

NPI number 1114601192
LBN Legal business name Carrillo Moya, Jorge Luis
Credentials HSE
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2023
Last updated Jun 12th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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