Provider Demographics
NPI:1750512943
Name:LAMPREABE, JOSE GUILLERMO (MD)
Entity type:Individual
Prefix:
First Name:JOSE
Middle Name:GUILLERMO
Last Name:LAMPREABE
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 1:4304 ALTON RD.
Mailing Address - Street 2:LOWENSTEIN
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2800
Mailing Address - Country:US
Mailing Address - Phone:305-674-2430
Mailing Address - Fax:305-674-2413
Practice Address - Street 1:4304 ALTON RD.
Practice Address - Street 2:LOWENSTEIN
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2800
Practice Address - Country:US
Practice Address - Phone:305-674-2430
Practice Address - Fax:305-674-2413
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-05
Last Update Date:2012-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME112854207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine