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NPI Code Detail

MEDICARE: WILSON NARINO TAPIAS

MEDICARE:   WILSON  NARINO TAPIAS
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
1122300000XDentistDRPM2686FL

General Provider Information

NPI Number : 1982458386
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILSON NARINO TAPIAS
Provider Business Mailing Address
First Line : 6851 SW 44TH ST APT 208
Second Line :
City : MIAMI
State : FL
Zip : 33155-4892
Country : US
Telephone Number : 509-856-4711
Fax Number :
Provider Business Practice Location Address
First Line : 750 E 25TH ST
Second Line :
City : HIALEAH
State : FL
Zip : 33013-3817
Country : US
Telephone Number : 305-694-5400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2024
Last Update Date : 04/15/2024

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Directions to “ WILSON NARINO TAPIAS ” Practice Location

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