Healthcare Provider Details

I. General information

NPI: 1952705097
Provider Name (Legal Business Name): BARBARA M. MUINA MDPA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2014
Last Update Date: 10/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9195 SUNSET DR SUITE 210
MIAMI FL
33173-3452
US

IV. Provider business mailing address

9195 SUNSET DR SUITE 210
MIAMI FL
33173-3452
US

V. Phone/Fax

Practice location:
  • Phone: 305-271-9065
  • Fax: 305-274-1470
Mailing address:
  • Phone: 305-271-9065
  • Fax: 305-274-1470

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License NumberME0043455
License Number StateFL

VIII. Authorized Official

Name: MRS. BARBARA MADELINE MUINA
Title or Position: OWNER
Credential: M.D.
Phone: 305-271-9065