Provider Demographics
NPI:1508808171
Name:MILA PRATS, EDUARDO JOSE (MD)
Entity Type:Individual
Prefix:DR
First Name:EDUARDO
Middle Name:JOSE
Last Name:MILA PRATS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2737 KINSINGTON CIR
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33332-1860
Mailing Address - Country:US
Mailing Address - Phone:954-732-6751
Mailing Address - Fax:
Practice Address - Street 1:315 W 9TH ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33010-3853
Practice Address - Country:US
Practice Address - Phone:786-360-4528
Practice Address - Fax:786-360-4529
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-11
Last Update Date:2011-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME51845208VP0014X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLA67572Medicare UPIN
FL057104Medicare Oscar/Certification
FLAB058Medicare PIN
FL05710Medicare ID - Type Unspecified