MEDICARE: ADRIANA CARRAZCO

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1386770576
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADRIANA CARRAZCO

Provider Business Mailing Address
First Line	:	175 FONTAINEBLEAU BLVD STE 2K8
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33172-4511
Country	:	US
Telephone Number	:	305-480-6088
Fax Number	:	305-480-6089

Provider Business Practice Location Address
First Line	:	175 FONTAINEBLEAU BLVD STE 2K8
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33172-4511
Country	:	US
Telephone Number	:	305-480-6088
Fax Number	:	305-480-6089

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

Provider Enumeration Date	:	02/24/2007
Last Update Date	:	07/08/2007

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Directions to “ ADRIANA CARRAZCO ” Practice Location

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