Provider Demographics
NPI:1255663522
Name:JOSE A SALIBA M D P A
Entity Type:Organization
Organization Name:JOSE A SALIBA M D P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:A
Authorized Official - Last Name:SALIBA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-559-7996
Mailing Address - Street 1:13055 SW 42ND ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-3406
Mailing Address - Country:US
Mailing Address - Phone:305-559-7996
Mailing Address - Fax:305-559-8316
Practice Address - Street 1:11760 SW 40TH ST
Practice Address - Street 2:SUITE 442
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-3582
Practice Address - Country:US
Practice Address - Phone:305-559-7996
Practice Address - Fax:305-559-8316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-11
Last Update Date:2010-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty