Individual provider · Type 1 NPI

Omar Alfonso Heredia Nieto, MD

Student in an Organized Health Care Education/Training Program · Miami, FL

NPI number 1407506561 Active

Practice location

1611 NW 12th Ave
Miami, FL 33136-1005

Call (305) 585-6042 Map

Mailing address

3924 Cascade Ter Fl 33332
Weston, FL 33332-2487

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1407506561

Omar Alfonso Heredia Nieto, MD's National Provider Identifier is 1407506561, issued on Mar 23, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Miami, FL. The record was last updated on Mar 23, 2022.