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NPI Code Detail

MEDICARE: DR. JAIME CUARTAS M.D.

MEDICARE: DR. JAIME CUARTAS M.D.
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
12085R0204XVascular & Interventional Radiology PhysicianME 0031474FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1ME 0031474OTHERFLMEDICAL LICENCE

General Provider Information

NPI Number : 1063413433
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAIME CUARTAS M.D.
Provider Business Mailing Address
First Line : 595 N SHORE DR
Second Line :
City : MIAMI BEACH
State : FL
Zip : 33141-2431
Country : US
Telephone Number : 305-861-2248
Fax Number :
Provider Business Practice Location Address
First Line : 7305 N MILITARY TRL
Second Line :
City : RIVIERA BEACH
State : FL
Zip : 33410-7417
Country : US
Telephone Number : 561-422-8262
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 07/08/2007

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