MEDICARE: DR. TANIRA B. DAMASCENO FERREIRA 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	207R00000X	Internal Medicine Physician	ME79651	FL
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	ME79651	FL
3	207RP1001X	Pulmonary Disease Physician	ME79651	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ME79651	OTHER	FL	LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811944739
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TANIRA B. DAMASCENO FERREIRA M.D.

Provider Business Mailing Address
First Line	:	5200 NE 2ND AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33137-2706
Country	:	US
Telephone Number	:	305-751-8626
Fax Number	:

Provider Business Practice Location Address
First Line	:	5200 NE 2ND AVE
Second Line	:	PULMONARY
City	:	MIAMI
State	:	FL
Zip	:	33137-2706
Country	:	US
Telephone Number	:	305-751-8626
Fax Number	:

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

Provider Enumeration Date	:	05/27/2006
Last Update Date	:	07/09/2008

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