MEDICARE: RENE MIGUEL HASBUN 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	207Q00000X	Family Medicine Physician	ME0043628	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	963882Y	OTHER	FL	MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1780617233
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RENE MIGUEL HASBUN M.D.

Provider Business Mailing Address
First Line	:	7371 SW 24TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-1402
Country	:	US
Telephone Number	:	786-360-4051
Fax Number	:	305-456-6647

Provider Business Practice Location Address
First Line	:	7371 SW 24TH ST
Second Line	:	UNLIMITED CARE MEDICAL CENTER, INC .
City	:	MIAMI
State	:	FL
Zip	:	33155-1402
Country	:	US
Telephone Number	:	786-360-4051
Fax Number	:	305-456-6647

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

Provider Enumeration Date	:	07/08/2006
Last Update Date	:	08/26/2021

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