Provider Demographics
NPI:1982613477
Name:RESTREPO, MARIA HELENA (MD)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:HELENA
Last Name:RESTREPO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1475 NW 12TH AVE
Mailing Address - Street 2:SUITE 3300
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-1002
Mailing Address - Country:US
Mailing Address - Phone:305-243-6626
Mailing Address - Fax:305-243-9278
Practice Address - Street 1:1475 NW 12TH AVE
Practice Address - Street 2:SUITE 3300
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1002
Practice Address - Country:US
Practice Address - Phone:305-243-6626
Practice Address - Fax:305-243-9278
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL79713207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL271301200Medicaid
FL48350OtherBLUE CROSS BLUE SHIELD
FL271301200Medicaid
FL48350OtherBLUE CROSS BLUE SHIELD