MEDICARE: ROBERTO D COMPERATORE 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	208600000X	Surgery Physician	ME37088	FL
2	174400000X	Specialist	0037088	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	003351	OTHER	FL	AVMED
2	95575	OTHER	FL	BCBS OF FLORIDA
3	000404	OTHER	FL	NHP
4	03831	OTHER	FL	WELLCARE
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730150772
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERTO D COMPERATORE MD

Provider Business Mailing Address
First Line	:	7150 W 20TH AVE STE 313
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33016-5532
Country	:	US
Telephone Number	:	305-558-4428
Fax Number	:	305-364-1295

Provider Business Practice Location Address
First Line	:	7150 W 20TH AVE STE 313
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33016-5532
Country	:	US
Telephone Number	:	305-558-4428
Fax Number	:	305-364-1295

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

Provider Enumeration Date	:	01/29/2006
Last Update Date	:	09/04/2019

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Directions to “ ROBERTO D COMPERATORE MD” Practice Location

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