Provider Demographics
NPI:1144508334
Name:MISAEL ALBERTO PRIETO, M.D., P.A.
Entity type:Organization
Organization Name:MISAEL ALBERTO PRIETO, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MISAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:PRIETO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-691-4001
Mailing Address - Street 1:3665 E 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33013-3011
Mailing Address - Country:US
Mailing Address - Phone:305-691-4001
Mailing Address - Fax:305-691-4002
Practice Address - Street 1:3665 E 4TH AVE
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33013-3011
Practice Address - Country:US
Practice Address - Phone:305-691-4001
Practice Address - Fax:305-691-4002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-22
Last Update Date:2011-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty