MEDICARE: DR. INES DINELI BRAS DVM, MS, DACVO

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	174M00000X	Veterinarian	343	PR

General Provider Information

NPI Number	:	1215208699
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. INES DINELI BRAS DVM, MS, DACVO

Provider Business Mailing Address
First Line	:	RR 16 BOX 3250
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00926-9693
Country	:	US
Telephone Number	:	787-708-4545
Fax Number	:	787-708-4878

Provider Business Practice Location Address
First Line	:	RR 16 BOX 3250
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00926-9693
Country	:	US
Telephone Number	:	787-708-4545
Fax Number	:	787-708-4878

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

Provider Enumeration Date	:	01/18/2012
Last Update Date	:	01/18/2012

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