MEDICARE: OSCAR EMILIO MINOSO Y DE CAL 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	207W00000X	Ophthalmology Physician	ME77529	FL

General Provider Information

NPI Number	:	1710028873
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OSCAR EMILIO MINOSO Y DE CAL M.D.

Provider Business Mailing Address
First Line	:	400 AURELIA AVE
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33146-3502
Country	:	US
Telephone Number	:	305-975-0588
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 AURELIA AVE
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33146-3502
Country	:	US
Telephone Number	:	305-975-0588
Fax Number	:

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

Provider Enumeration Date	:	02/10/2007
Last Update Date	:	11/02/2007

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