Provider Demographics
NPI:1144559063
Name:JUAN C SAROL MD PA
Entity type:Organization
Organization Name:JUAN C SAROL MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:CARLOS
Authorized Official - Last Name:SAROL
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PA,
Authorized Official - Phone:786-313-3640
Mailing Address - Street 1:85 E 49TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33013-1851
Mailing Address - Country:US
Mailing Address - Phone:786-313-3640
Mailing Address - Fax:786-536-5535
Practice Address - Street 1:85 E 49TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33013-1851
Practice Address - Country:US
Practice Address - Phone:786-313-3640
Practice Address - Fax:786-536-5535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-24
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME104938207R00000X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty