MEDICARE: HUMBERTO C MACHADO JR MD PA

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
1	207RC0000X	Cardiovascular Disease Physician	ME77677	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1598943169
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUMBERTO C MACHADO JR MD PA

Provider Business Mailing Address
First Line	:	747 PONCE DE LEON BLVD STE 503
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-2073
Country	:	US
Telephone Number	:	305-529-9901
Fax Number	:	305-569-3011

Provider Business Practice Location Address
First Line	:	747 PONCE DE LEON BLVD STE 503
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-2073
Country	:	US
Telephone Number	:	305-529-9901
Fax Number	:	305-569-3011

Authorized Official
Title or Position	:	OWNER
Name	:	DR. HUMBERTO C MACHADO JR.
Credential	:
Telephone Number	:	305-529-9901

Provider Enumeration Date	:	02/06/2008
Last Update Date	:	12/10/2024

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