MEDICARE: LAURA BERNAL DUMENIGO

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	183500000X	Pharmacist	69502	FL

General Provider Information

NPI Number	:	1396625588
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA BERNAL DUMENIGO

Provider Business Mailing Address
First Line	:	1759 SW 137TH PL
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-1079
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8680 SW 24TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-2338
Country	:	US
Telephone Number	:	305-559-8033
Fax Number	:

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

Provider Enumeration Date	:	09/06/2025
Last Update Date	:	09/06/2025

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Directions to “ LAURA BERNAL DUMENIGO ” Practice Location

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