=====================================================
General NPI Number Information
=====================================================
NPI Number | 1275554719
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MARIA E MILANES M.D.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/21/2006
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4980 W 10TH AVE SUITE # 202
-----------------------------------------------------
City | HIALEAH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33012-3437
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-558-8525
-----------------------------------------------------
Fax | 305-558-6535
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3411 INDIAN CREEK DR APT. # 701
-----------------------------------------------------
City | MIAMI BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33140-4075
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-558-8525
-----------------------------------------------------
Fax | 305-558-6535
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QP2300X
-----------------------------------------------------
Taxonomy Name | Primary Care Clinic/Center
-----------------------------------------------------
License Number | ME0043448
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------