NPI 1124230081

Mario Tudela, MA

Practitioner Mechanotherapist Miami, FL

Practice location

Address: 620 NW 33rd Ave, Miami, FL 33125-4106
Phone: (305) 646-0062
Mailing address: 6348 W 22nd Ln, Hialeah, FL 33016-3925

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence MA1936687 (FL)

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Registry record

NPI: 1124230081
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 May 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.