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NPI Code Detail

MEDICARE: DAGOBERTO BUENO MARTIN

MEDICARE:   DAGOBERTO  BUENO MARTIN
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
1363LF0000XFamily Nurse PractitionerAPRN11030833FL

General Provider Information

NPI Number : 1205604592
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAGOBERTO BUENO MARTIN
Provider Business Mailing Address
First Line : 301 SW 30TH CT
Second Line :
City : MIAMI
State : FL
Zip : 33135-2718
Country : US
Telephone Number : 305-780-3545
Fax Number :
Provider Business Practice Location Address
First Line : 175 SW 7TH ST STE 1207
Second Line :
City : MIAMI
State : FL
Zip : 33130-2952
Country : US
Telephone Number : 786-681-6811
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2023
Last Update Date : 01/30/2024

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Directions to “ DAGOBERTO BUENO MARTIN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.