Healthcare Provider Details

I. General information

NPI: 1689375891
Provider Name (Legal Business Name): BRUNO HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2023
Last Update Date: 03/14/2023
Certification Date: 03/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

429 LENOX AVE
MIAMI BEACH FL
33139-6532
US

IV. Provider business mailing address

429 LENOX AVE
MIAMI BEACH FL
33139-6532
US

V. Phone/Fax

Practice location:
  • Phone: 415-287-3301
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. GERMAN ECHEVERRY
Title or Position: PRESIDENT AND CEO
Credential: MD
Phone: 415-287-3301