Provider Demographics
NPI:1700990108
Name:BITRAN, MAURICIO Y (MD)
Entity Type:Individual
Prefix:DR
First Name:MAURICIO
Middle Name:Y
Last Name:BITRAN
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 1:4308 ALTON RD
Mailing Address - Street 2:SUITE 790
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-4556
Mailing Address - Country:US
Mailing Address - Phone:305-673-9270
Mailing Address - Fax:305-538-0057
Practice Address - Street 1:4302 ALTON RD #810
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2891
Practice Address - Country:US
Practice Address - Phone:305-673-9270
Practice Address - Fax:305-538-0057
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2011-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME53454207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL374997500Medicaid
FL374997500Medicaid
FLB89748Medicare UPIN