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NPI Code Detail

MEDICARE: DIANAMARY BRITO HERRERA MD

MEDICARE: DIANAMARY BRITO HERRERA 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
1390200000XStudent in an Organized Health Care Education/Training ProgramFL

General Provider Information

NPI Number : 1942724653
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANAMARY BRITO HERRERA MD
Provider Business Mailing Address
First Line : 500 SW 145TH AVE APT 230
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33027-6209
Country : US
Telephone Number : 786-660-9797
Fax Number :
Provider Business Practice Location Address
First Line : 4225 W 20TH AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33012-5826
Country : US
Telephone Number : 786-828-7552
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2017
Last Update Date : 03/25/2025

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