Healthcare Provider Details
I. General information
NPI: 1326313784
Provider Name (Legal Business Name): MARIA E. MILANES MD,PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/19/2012
Last Update Date: 03/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4980 W 10TH AVE SUITE # 202
HIALEAH FL
33012-3437
US
IV. Provider business mailing address
1865 BRICKELL AVE APT A1907 # A1907
MIAMI FL
33129-1605
US
V. Phone/Fax
- Phone: 305-558-8525
- Fax: 305-558-6535
- Phone: 305-558-8525
- Fax: 305-558-6535
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA0600X |
| Taxonomy | Adult Day Care Clinic/Center |
| License Number | ME0043448 |
| License Number State | FL |
VIII. Authorized Official
Name: DR.
MARIA
ESPERANZA
MILANES
Title or Position: PRESIDENT
Credential: M.D.
Phone: 305-298-8095