MEDICARE: DR. MARIA E MILANES 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	261QP2300X	Primary Care Clinic/Center	ME0043448	FL

General Provider Information

NPI Number	:	1275554719
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIA E MILANES M.D.

Provider Business Mailing Address
First Line	:	3411 INDIAN CREEK DR
Second Line	:	APT. # 701
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-4075
Country	:	US
Telephone Number	:	305-558-8525
Fax Number	:	305-558-6535

Provider Business Practice Location Address
First Line	:	4980 W 10TH AVE
Second Line	:	SUITE # 202
City	:	HIALEAH
State	:	FL
Zip	:	33012-3437
Country	:	US
Telephone Number	:	305-558-8525
Fax Number	:	305-558-6535

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

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	07/08/2007

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