MEDICARE: DR. ENRIQUE DANIEL MULLER DMD, MSD

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	1223P0300X	Periodontics	DN1855656	MA
2	1223P0300X	Periodontics	DN19560	FL

General Provider Information

NPI Number	:	1598998528
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ENRIQUE DANIEL MULLER DMD, MSD

Provider Business Mailing Address
First Line	:	2430 NE 202ND ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33180-1842
Country	:	US
Telephone Number	:	305-707-2266
Fax Number	:

Provider Business Practice Location Address
First Line	:	2430 NE 202ND ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33180-1842
Country	:	US
Telephone Number	:	305-707-2266
Fax Number	:

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

Provider Enumeration Date	:	08/25/2009
Last Update Date	:	06/18/2025

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