Provider Demographics
NPI:1225239973
Name:SIEGEL, YOEL JOSEF (MD)
Entity Type:Individual
Prefix:DR
First Name:YOEL
Middle Name:JOSEF
Last Name:SIEGEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3544 MAGELLAN CIR
Mailing Address - Street 2:118
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-3704
Mailing Address - Country:US
Mailing Address - Phone:305-937-4618
Mailing Address - Fax:305-937-4618
Practice Address - Street 1:1611 N.W. 12 AVE.
Practice Address - Street 2:JACKSON MEMORIAL HOSPITAL RADIOLOGY
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1005
Practice Address - Country:US
Practice Address - Phone:305-585-8173
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2014-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTRN10354390200000X
FLME1009372085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program