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:
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Health care specialties

SpecialtyCodeLicense #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 16 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 1811977002 NPPES
Florida MEDICAID 373282700
Florida Other 650773933

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