Provider Demographics
NPI:1710028873
Name:MINOSO Y DE CAL, OSCAR EMILIO (MD)
Entity Type:Individual
Prefix:
First Name:OSCAR
Middle Name:EMILIO
Last Name:MINOSO Y DE CAL
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 1:400 AURELIA AVE
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-3502
Mailing Address - Country:US
Mailing Address - Phone:305-975-0588
Mailing Address - Fax:
Practice Address - Street 1:400 AURELIA AVE
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-3502
Practice Address - Country:US
Practice Address - Phone:305-975-0588
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-10
Last Update Date:2007-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME77529207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLH06183Medicare UPIN
FLE3214Medicare ID - Type Unspecified