Mas, Ildefonso J

Mas, Ildefonso J is an individual health care provider with primary practice located at 3181 Coral Way 5Th Floor, Miami FL 33145. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Mas, Ildefonso J can be contacted via phone (305) 858-3494.

Contact Information

Primary practice address
3181 Coral Way 5Th Floor Miami FL 33145
Fax: (786) 497-2725
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME0049087 Florida

Profile Details

NPI number 1184697195
LBN Legal business name Mas, Ildefonso J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1184697195 NPPES
Florida MEDICAID 47047300

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