MEDICARE: ALBERTO M. JACIR-MARCANO MD, MBA

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	207Q00000X	Family Medicine Physician	ME128225	FL
2	207Q00000X	Family Medicine Physician	AS306250860	MI

General Provider Information

NPI Number	:	1750551941
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALBERTO M. JACIR-MARCANO MD, MBA

Provider Business Mailing Address
First Line	:	8333 NW 53RD ST FL 6
Second Line	:
City	:	DORAL
State	:	FL
Zip	:	33166-4783
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	18469 S DIXIE HWY
Second Line	:
City	:	CUTLER BAY
State	:	FL
Zip	:	33157-6815
Country	:	US
Telephone Number	:	855-226-6633
Fax Number	:	866-285-7068

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

Provider Enumeration Date	:	03/04/2008
Last Update Date	:	06/01/2026

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