Provider Demographics
NPI:1396126637
Name:TRUNCALI, BRISAS MARIE FLORES (MD)
Entity type:Individual
Prefix:DR
First Name:BRISAS
Middle Name:MARIE FLORES
Last Name:TRUNCALI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:21 SOUTH RD STE 100
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06032-2482
Mailing Address - Country:US
Mailing Address - Phone:860-409-4567
Mailing Address - Fax:860-409-4846
Practice Address - Street 1:21 SOUTH RD STE 100
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06032-2482
Practice Address - Country:US
Practice Address - Phone:860-409-4567
Practice Address - Fax:860-409-4846
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-12
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA264179207R00000X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine