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NPI Code Detail

MEDICARE: DR. MELANIO ALBERTO BRUCETA MD

MEDICARE: DR. MELANIO ALBERTO BRUCETA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology PhysicianME157154FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043701006
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MELANIO ALBERTO BRUCETA MD
Provider Business Mailing Address
First Line : 5731 PALM AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33012-2756
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1611 NW 12TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33136-1096
Country : US
Telephone Number : 305-585-1111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2018
Last Update Date : 11/16/2022

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