MEDICARE: BEATO NUNEZ M D P A

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1629307343
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEATO NUNEZ M D P A

Provider Business Mailing Address
First Line	:	2695 S LE JEUNE RD
Second Line	:	SUITE 200
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-5839
Country	:	US
Telephone Number	:	305-529-5558
Fax Number	:	305-529-5854

Provider Business Practice Location Address
First Line	:	2695 S LE JEUNE RD
Second Line	:	SUITE 200
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-5839
Country	:	US
Telephone Number	:	305-529-5558
Fax Number	:	305-529-5854

Authorized Official
Title or Position	:	PRESIDENT
Name	:	VIRGILIO I BEATO
Credential	:	MD
Telephone Number	:	305-529-5558

Provider Enumeration Date	:	12/08/2009
Last Update Date	:	12/08/2009

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