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NPI Code Detail

MEDICARE: ROBERT BRENES MD

MEDICARE: ROBERT BRENES MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician52482CT
2208600000XSurgery Physician52482CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235398611
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT BRENES MD
Provider Business Mailing Address
First Line : 76 BATTERSON PARK RD STE 106
Second Line :
City : FARMINGTON
State : CT
Zip : 06032-2571
Country : US
Telephone Number : 203-598-6045
Fax Number : 203-879-0834
Provider Business Practice Location Address
First Line : 76 BATTERSON PARK RD STE 106
Second Line :
City : FARMINGTON
State : CT
Zip : 06032-2571
Country : US
Telephone Number : 203-598-6045
Fax Number : 203-879-0834
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2008
Last Update Date : 05/06/2026

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