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NPI Code Detail

MEDICARE: MARIO ONATE

MEDICARE: MARIO ONATE
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
1122300000XDentist23668FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659721900
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIO ONATE
Provider Business Mailing Address
First Line : 611 NW 82ND AVE APT 314
Second Line :
City : MIAMI
State : FL
Zip : 33126-6903
Country : US
Telephone Number : 305-775-6486
Fax Number :
Provider Business Practice Location Address
First Line : 149 W 21ST ST
Second Line :
City : HIALEAH
State : FL
Zip : 33010-2615
Country : US
Telephone Number : 305-775-6486
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2016
Last Update Date : 09/10/2019

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Directions to “ MARIO ONATE ” Practice Location

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