Mustelier Pomares, Ileana

Mustelier Pomares, Ileana is an individual health care provider with primary practice located at 3805 W 20Th Ave Ste 105 , Hialeah FL 33012-4532. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Mustelier Pomares, Ileana can be contacted via phone (305) 557-2277.

Contact Information

Primary practice address
3805 W 20Th Ave Ste 105 Hialeah FL 33012-4532
Phone: (305) 557-2277
Fax: (786) 621-7818
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X RN9264333 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 022102 Puerto Rico
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ACN1318 Florida

Profile Details

NPI number 1649874868
LBN Legal business name Mustelier Pomares, Ileana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2020
Last updated Sep 6th, 2022 - about 4 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 1649874868 NPPES
Florida MEDICAID 111776200

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