Provider Demographics
NPI:1962743120
Name:DORAL HEALTH SOLUTIONS INC
Entity type:Organization
Organization Name:DORAL HEALTH SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BRIZUELA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-208-6357
Mailing Address - Street 1:8180 NW 36TH ST
Mailing Address - Street 2:SUITE 230
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6645
Mailing Address - Country:US
Mailing Address - Phone:786-208-6357
Mailing Address - Fax:305-593-8369
Practice Address - Street 1:8180 NW 36TH ST
Practice Address - Street 2:SUITE 230
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-6645
Practice Address - Country:US
Practice Address - Phone:786-208-6357
Practice Address - Fax:305-593-8369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-12
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty