Jairo A De La Hoz


Address: 5233 Ricker Rd, Suite 101, Jacksonville, FL 32210-1439

Jairo A De La Hoz (NPI# 1972528545, PAC ID# 7911967971) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1972528545
PAC ID by PECOS 7911967971
Professional Enrollment ID I20050706001117
Full Name Jairo A De La Hoz
Address 5233 Ricker Rd
Suite 101
Jacksonville
FL 32210-1439
Gender M
Credential MD
Graduation Year 1983
Primary Specialty FAMILY MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100040 ST VINCENT'S MEDICAL CENTER RIVERSIDE
100321 ST VINCENTS MEDICAL CENTER - CLAY COUNTY

Other Locations

Address Phone Organization
5233 Ricker Rd, Suite 101, Jacksonville, FL 32210-1439

Organization Information

Office Location

Street Address 5233 RICKER RD
SUITE 101
City JACKSONVILLE
State FL
Zip 32210-1439

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Competitor

Search similar physicians

City JACKSONVILLE
Zip Code 32210
Specialty FAMILY MEDICINE
City + Specialty JACKSONVILLE + FAMILY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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