Healthcare Provider Details

I. General information

NPI: 1659324127
Provider Name (Legal Business Name): FRANCISCO M MACIAS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 02/16/2023
Certification Date: 02/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5200 SW 8TH ST STE 150
CORAL GABLES FL
33134-2300
US

IV. Provider business mailing address

5200 SW 8TH ST STE 150
CORAL GABLES FL
33134-2300
US

V. Phone/Fax

Practice location:
  • Phone: 305-250-5600
  • Fax: 305-250-5688
Mailing address:
  • Phone: 305-250-5600
  • Fax: 305-250-5688

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberME18212
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: