MEDICARE: DR. GEORGE VENERO 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	207R00000X	Internal Medicine Physician	9006	PR

General Provider Information

NPI Number	:	1518957042
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GEORGE VENERO M.D.

Provider Business Mailing Address
First Line	:	17 CALLE DIAMANTE
Second Line	:	BUCARE
City	:	GUAYNABO
State	:	PR
Zip	:	00969-5114
Country	:	US
Telephone Number	:	787-740-4740
Fax Number	:	787-269-6067

Provider Business Practice Location Address
First Line	:	BAYAMON MEDICAL PLAZA
Second Line	:	SUITE 710
City	:	BAYAMON
State	:	PR
Zip	:	00959-7206
Country	:	US
Telephone Number	:	787-740-4740
Fax Number	:	787-269-6067

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

Provider Enumeration Date	:	10/26/2005
Last Update Date	:	05/08/2024

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