MEDICARE: DR. EDUARDO JOSE MILA PRATS MD

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	208VP0014X	Interventional Pain Medicine Physician	ME51845	FL
2	208D00000X	General Practice Physician	ME51845	FL

General Provider Information

NPI Number	:	1508808171
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDUARDO JOSE MILA PRATS MD

Provider Business Mailing Address
First Line	:	2737 KINSINGTON CIR
Second Line	:
City	:	WESTON
State	:	FL
Zip	:	33332-1860
Country	:	US
Telephone Number	:	954-732-6751
Fax Number	:

Provider Business Practice Location Address
First Line	:	315 W 9TH ST
Second Line	:	2ND FLOOR
City	:	HIALEAH
State	:	FL
Zip	:	33010-3853
Country	:	US
Telephone Number	:	786-360-4528
Fax Number	:	786-360-4529

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

Provider Enumeration Date	:	06/11/2006
Last Update Date	:	06/16/2011

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