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NPI Code Detail

MEDICARE: MRS. PATRICIA ANNE MENESES

MEDICARE:  MRS. PATRICIA ANNE MENESES
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
1126800000XDental Assistant

General Provider Information

NPI Number : 1154412054
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PATRICIA ANNE MENESES
Provider Business Mailing Address
First Line : 1500 SAN REMO AVE
Second Line : SUITE 150
City : CORAL GABLES
State : FL
Zip : 33146-3043
Country : US
Telephone Number : 305-667-1191
Fax Number : 305-667-2712
Provider Business Practice Location Address
First Line : 1500 SAN REMO AVE
Second Line : SUITE 150
City : CORAL GABLES
State : FL
Zip : 33146-3043
Country : US
Telephone Number : 305-667-1191
Fax Number : 305-667-2712
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. PATRICIA ANNE MENESES ” Practice Location

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