Individual provider · Type 1 NPI

Shaban Mirco Burgoa, DDS

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

NPI number 1467282707 Active

Practice location

1750 NE 191st St Apt 614
Miami, FL 33179-4250

Call (954) 559-3089 Map

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 1467282707

Shaban Mirco Burgoa, DDS's National Provider Identifier is 1467282707, issued on Aug 2, 2024. 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 Aug 2, 2024.