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Dr. Jose Miguel Lares-guia, MD
General Practice Physician in New York, New York
NPI 1902030869

Jose Miguel Lares-guia is a General Practice Physician based in New York, NY. Jose Miguel Lares-guia practices in New York, NY and has the professional credentials of MD. The NPI Number for Jose Miguel Lares-guia is 1902030869 and holds a License No. 249492 (New York).

The current practice location address for Jose Miguel Lares-guia is 84 Grove St Apt 3, New York, NY and can be reached out via phone at 646-429-5555 and via fax at 678-553-1274.

Location: 84 Grove St Apt 3, New York, NY, 10014-3566
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Provider Profile Details
NPI Number
1902030869
Provider Name
Jose Miguel Lares-guia
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
84 Grove St Apt 3, New York, NY, 10014-3566
Phone Number
646-429-5555
Fax Number
678-553-1274
Provider Enumeration Date
05/07/2009
Last Update Date
07/20/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03161662-03 01 NY ADAP
03161662 05 NY
249492 01 NY MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
84 Grove St Apt 3
City
State
Zip
10014-3566
Phone Number
646-429-5555
Fax Number
678-553-1274
person
Provider Business Mailing Address Details
Address
84 Grove St Apt 3
City
State
Zip
10014-3566
Phone Number
646-429-5555
Fax Number
678-553-1274
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
249492 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
249492 (New York)
Definition
Definition to come...
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