Healthcare Provider Details

I. General information

NPI: 1144290826
Provider Name (Legal Business Name): MARIA ELENA OCASIO-TASCON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2006
Last Update Date: 08/12/2024
Certification Date: 08/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 W 68TH ST
HIALEAH FL
33016-1801
US

IV. Provider business mailing address

8370 W FLAGLER ST STE 201
MIAMI FL
33144-2094
US

V. Phone/Fax

Practice location:
  • Phone: 305-661-9401
  • Fax:
Mailing address:
  • Phone: 305-928-7249
  • Fax: 305-630-3663

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberME121111
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberME121111
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: