Provider Demographics
NPI:1043627128
Name:NOGUER, JESUS G (MD)
Entity Type:Individual
Prefix:DR
First Name:JESUS
Middle Name:G
Last Name:NOGUER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6100 BLUE LAGOON DR STE 365
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-7010
Mailing Address - Country:US
Mailing Address - Phone:786-322-7333
Mailing Address - Fax:786-347-5022
Practice Address - Street 1:20001 SW 127TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33177-5118
Practice Address - Country:US
Practice Address - Phone:305-406-2069
Practice Address - Fax:786-557-4381
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-21
Last Update Date:2023-08-28
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Provider Licenses
StateLicense IDTaxonomies
FLACN736208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL017109400Medicaid