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NPI Code Detail

MEDICARE: DAVID BIENVENIDO CUBERO REGO M.D.

MEDICARE: DAVID BIENVENIDO CUBERO REGO 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
1207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianME141818FL

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 : 1134584543
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID BIENVENIDO CUBERO REGO M.D.
Provider Business Mailing Address
First Line : PO BOX 117287
Second Line :
City : ATLANTA
State : GA
Zip : 30368-7287
Country : US
Telephone Number : 239-432-8331
Fax Number : 813-321-1296
Provider Business Practice Location Address
First Line : 2848 CENTER POINTE DR STE A
Second Line :
City : FORT MYERS
State : FL
Zip : 33916-9521
Country : US
Telephone Number : 239-561-9622
Fax Number : 239-768-5297
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2015
Last Update Date : 06/15/2021

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