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GERARDO DE LA LUZ AGUILERA DIAZ SA-C
Certified First Assistant >> Specialist/Technologist, Other >> Technologists, Technicians & Other Technical Service ProvidersRegistrant NPI Number: 1447628508
Individual Registrant: GERARDO DE LA LUZ AGUILERA DIAZ SA-C
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
2230 N 49TH AVE HOLLYWOOD, FL 33021-4042 US
Tel: 954-702-3977 Fax: --
Tel: 954-702-3977 Fax: --
Contact information for business:
2230 N 49TH AVE HOLLYWOOD, FL 33021-4042 US
Tel: 954-702-3977 Fax: --
Tel: 954-702-3977 Fax: --
Registration Information:
NPI: 1447628508
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 246ZC0007X | Technologists, Technicians & Other Technical Service Providers Specialist/Technologist, Other Certified First Assistant | CO | 13-404 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
