MEDICARE: JUAN EMILIANO KUSNIR M.D.

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	207RN0300X	Nephrology Physician	ME131317	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	:	1649546631
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUAN EMILIANO KUSNIR M.D.

Provider Business Mailing Address
First Line	:	9193 SUNSET DR STE 200
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33173-3487
Country	:	US
Telephone Number	:	305-273-9377
Fax Number	:

Provider Business Practice Location Address
First Line	:	10850 SW 184TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33157-6737
Country	:	US
Telephone Number	:	305-273-9377
Fax Number	:	305-273-9388

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2012
Last Update Date	:	10/07/2022

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