Provider Demographics
NPI:1477092898
Name:FIBERS NEUROLOGICAL INSTITUTE, LLC
Entity Type:Organization
Organization Name:FIBERS NEUROLOGICAL INSTITUTE, LLC
Other - Org Name:NEUROFIBERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SANTIAGO
Authorized Official - Middle Name:D
Authorized Official - Last Name:FIGUEREO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-607-5911
Mailing Address - Street 1:PO BOX 402368
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-0368
Mailing Address - Country:US
Mailing Address - Phone:786-607-5911
Mailing Address - Fax:786-329-6483
Practice Address - Street 1:2601 SW 37TH AVE STE 905
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-2751
Practice Address - Country:US
Practice Address - Phone:786-607-5911
Practice Address - Fax:786-329-6483
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-17
Last Update Date:2017-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME94748207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Multi-Specialty