Provider Demographics
NPI:1326313784
Name:MARIA E. MILANES MD,PA
Entity Type:Organization
Organization Name:MARIA E. MILANES MD,PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:ESPERANZA
Authorized Official - Last Name:MILANES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-298-8095
Mailing Address - Street 1:1865 BRICKELL AVE APT A1907
Mailing Address - Street 2:# A1907
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33129-1605
Mailing Address - Country:US
Mailing Address - Phone:305-558-8525
Mailing Address - Fax:305-558-6535
Practice Address - Street 1:4980 W 10TH AVE
Practice Address - Street 2:SUITE # 202
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-3437
Practice Address - Country:US
Practice Address - Phone:305-558-8525
Practice Address - Fax:305-558-6535
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MARIA E. MILANES MD,PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-03-19
Last Update Date:2012-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0043448261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0690899Medicaid
FL0690899Medicaid
FL96341Medicare PIN