| Anselmo H. Humaran Md,pa | |
|
11474 Quail Roost Dr Miami FL 33157-6575 | |
| (305) 232-2066 | |
| Not Available |
| Full Name | Anselmo H. Humaran Md,pa |
|---|---|
| Speciality | General Practice |
| Location | 11474 Quail Roost Dr, Miami, Florida |
| Authorized Official Name and Position | Anselmo Humaran (PRESIDENT) |
| Authorized Official Contact | 3052322066 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anselmo H. Humaran Md,pa 11474 Quail Roost Dr Miami FL 33157-6575 Ph: (305) 232-2066 | Anselmo H. Humaran Md,pa 11474 Quail Roost Dr Miami FL 33157-6575 Ph: (305) 232-2066 |
| NPI Number | 1316249279 |
|---|---|
| Provider Enumeration Date | 11/29/2010 |
| Last Update Date | 09/04/2012 |
| Medicare PECOS PAC ID | 3971790189 |
|---|---|
| Medicare Enrollment ID | O20101213001184 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316249279 | NPI | - | NPPES |
| 96178 | Other | FL | MEDICARE ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ME41680 (Florida) | Primary |
| Provider Name | Anselmo H Humaran |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1114038023 PECOS PAC ID: 3870788185 Enrollment ID: I20101112000140 |
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