MEDICARE: MARCELO ANTONIO OLIVEIRA CRNA

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	367500000X	Certified Registered Nurse Anesthetist	RN271760	MA
2	367500000X	Certified Registered Nurse Anesthetist	APRN11018808	FL

General Provider Information

NPI Number	:	1912400219
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARCELO ANTONIO OLIVEIRA CRNA

Provider Business Mailing Address
First Line	:	11 FAIRBANKS RD
Second Line	:
City	:	FRAMINGHAM
State	:	MA
Zip	:	01701-7911
Country	:	US
Telephone Number	:	508-733-1805
Fax Number	:

Provider Business Practice Location Address
First Line	:	115 LINCOLN ST
Second Line	:
City	:	FRAMINGHAM
State	:	MA
Zip	:	01702-6358
Country	:	US
Telephone Number	:	508-383-1000
Fax Number	:

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

Provider Enumeration Date	:	03/13/2018
Last Update Date	:	05/28/2026

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