person
Luis Augusto Shimose Ciudad, MD
Student in an Organized Health Care Education/Training Program in Miami, Florida
NPI 1972898187

Luis Augusto Shimose Ciudad is a Student in an Organized Health Care Education/Training Program based in Miami, FL. Luis Augusto Shimose Ciudad practices in Miami, FL and has the professional credentials of MD. The NPI Number for Luis Augusto Shimose Ciudad is 1972898187 and holds a License No. TRN155776 (Florida).

The current practice location address for Luis Augusto Shimose Ciudad is 1611 Nw 12Th Ave, Miami, FL and can be reached out via phone at 786-873-0500.

Location: 1611 Nw 12Th Ave, Miami, FL, 33131-3713
person
Provider Profile Details
NPI Number
1972898187
Provider Name
Luis Augusto Shimose Ciudad
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1611 Nw 12Th Ave, Miami, FL, 33131-3713
Phone Number
786-873-0500
Fax Number
Provider Enumeration Date
06/15/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1611 Nw 12Th Ave
City
State
Zip
33136-1005
Phone Number
786-873-0500
Fax Number
person
Provider Business Mailing Address Details
Address
1611 Nw 12Th Ave
City
State
Zip
33136-1005
Phone Number
786-873-0500
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
TRN155776 (Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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