Healthcare Provider Details

I. General information

NPI: 1417114968
Provider Name (Legal Business Name): ALFREDO MURCIANO MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2008
Last Update Date: 01/22/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 CASUARINA CONCOURSE
CORAL GABLES FL
33143-6508
US

IV. Provider business mailing address

PO BOX 440602
MIAMI FL
33144-0602
US

V. Phone/Fax

Practice location:
  • Phone: 305-461-9861
  • Fax:
Mailing address:
  • Phone: 786-275-8404
  • Fax: 786-275-8403

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0208X
TaxonomyPediatric Infectious Diseases Physician
License NumberME0054613
License Number StateFL

VIII. Authorized Official

Name: DR. ALFREDO MURCIANO
Title or Position: OWNER
Credential: M.D.
Phone: 305-461-9861