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NPI Code Detail

MEDICARE: DANIEL CALVA-CERQUEIRA M.D.

MEDICARE: DANIEL CALVA-CERQUEIRA 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
1208200000XPlastic Surgery Physician40696IA
2208200000XPlastic Surgery PhysicianME120264FL

General Provider Information

NPI Number : 1366651549
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL CALVA-CERQUEIRA M.D.
Provider Business Mailing Address
First Line : 2734 SW 37TH AVE
Second Line :
City : COCONUT GROVE
State : FL
Zip : 33133-2728
Country : US
Telephone Number : 305-642-4263
Fax Number :
Provider Business Practice Location Address
First Line : 2734 SW 37TH AVE
Second Line :
City : COCONUT GROVE
State : FL
Zip : 33133-2728
Country : US
Telephone Number : 305-642-4263
Fax Number : 305-426-3329
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2007
Last Update Date : 07/17/2023

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