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NPI Code Detail

MEDICARE: DR. MARIO E REYES-SERRANO M.D.

MEDICARE: DR. MARIO E REYES-SERRANO 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
1207Q00000XFamily Medicine PhysicianME94353FL

General Provider Information

NPI Number : 1265481766
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARIO E REYES-SERRANO M.D.
Provider Business Mailing Address
First Line : 19832 NW 88TH AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33018-6206
Country : US
Telephone Number : 305-816-5956
Fax Number : 305-816-5976
Provider Business Practice Location Address
First Line : 10300 SW 72ND ST
Second Line : SUITE 311
City : MIAMI
State : FL
Zip : 33173-3012
Country : US
Telephone Number : 305-271-6570
Fax Number : 305-279-6805
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2006
Last Update Date : 09/12/2007

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Directions to “ DR. MARIO E REYES-SERRANO M.D.” Practice Location

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