Provider Demographics
NPI:1811556947
Name:BRUNO MACHADO, DAVY (MD)
Entity Type:Individual
Prefix:MR
First Name:DAVY
Middle Name:
Last Name:BRUNO MACHADO
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:AVENIDA PINTO BANDEIRA, 635, AP 903
Mailing Address - Street 2:
Mailing Address - City:FORTALEZA
Mailing Address - State:CE
Mailing Address - Zip Code:60811170
Mailing Address - Country:BR
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3990 JOHN R
Practice Address - Street 2:DEPARTMENT OF SURGERY
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201
Practice Address - Country:US
Practice Address - Phone:313-577-5009
Practice Address - Fax:313-577-5310
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program