MEDICARE: DR. EMILIANO J CHAMORRO 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
1	207Q00000X	Family Medicine Physician	ME91087	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ME91087	OTHER	FL	MEDICAL LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215987821
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EMILIANO J CHAMORRO M.D.

Provider Business Mailing Address
First Line	:	6101 BLUE LAGOON DR STE 200
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-3168
Country	:	US
Telephone Number	:	305-500-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	692 NORTH HOMESTEAD BOULAVARD
Second Line	:	STE 102
City	:	HOMESTEAD
State	:	FL
Zip	:	33030
Country	:	US
Telephone Number	:	305-631-0660
Fax Number	:	305-631-1362

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

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	02/18/2026

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