Individual provider · Type 1 NPI

Fausto Esteban Astudillo Davalos, MD

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

NPI number 1639466170 Active

Practice location

1611 NW 12th Ave, Department Of Obstetrics And Gynecology
Miami, FL 33136-1005

Call (305) 585-5640 Map

Mailing address

555 NE 34th St Apt 1510
Miami, FL 33137-4056

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XTRN16199 (FL)

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 1639466170

Fausto Esteban Astudillo Davalos, MD's National Provider Identifier is 1639466170, issued on Jul 6, 2011. 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 Jul 6, 2011.