Ravelo, Jorge E
Ravelo, Jorge E is an sole proprietor health care provider with primary practice located at 2140 W 68Th St Suite 307, Hialeah FL 33016-1815. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Ravelo, Jorge E can be contacted via phone (305) 231-1664.Contact Information
Primary practice address
2140 W 68Th St Suite 307
Hialeah FL 33016-1815
Phone: (305) 231-1664
Fax: (305) 231-9882
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME 56847 | Florida |
Profile Details
| NPI number | 1811977002 |
|---|---|
| LBN Legal business name | Ravelo, Jorge E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Jul 27th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811977002 | NPPES |
| Florida | MEDICAID | 373282700 | |
| Florida | Other | 650773933 |
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