MEDICARE: MARIA ELENA OCASIO-TASCON 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
1	207RP1001X	Pulmonary Disease Physician	ME121111	FL
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	ME121111	FL

General Provider Information

NPI Number	:	1144290826
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA ELENA OCASIO-TASCON MD

Provider Business Mailing Address
First Line	:	8370 W FLAGLER ST STE 201
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33144-2094
Country	:	US
Telephone Number	:	305-928-7249
Fax Number	:	305-630-3663

Provider Business Practice Location Address
First Line	:	2001 W 68TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33016-1801
Country	:	US
Telephone Number	:	305-661-9401
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2006
Last Update Date	:	08/12/2024

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