Provider Demographics
NPI:1780617233
Name:HASBUN, RENE MIGUEL (MD)
Entity type:Individual
Prefix:
First Name:RENE
Middle Name:MIGUEL
Last Name:HASBUN
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 1:7371 SW 24TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-1402
Mailing Address - Country:US
Mailing Address - Phone:786-360-4051
Mailing Address - Fax:305-456-6647
Practice Address - Street 1:7371 SW 24TH ST
Practice Address - Street 2:UNLIMITED CARE MEDICAL CENTER, INC .
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-1402
Practice Address - Country:US
Practice Address - Phone:786-360-4051
Practice Address - Fax:305-456-6647
Is Sole Proprietor?:No
Enumeration Date:2006-07-08
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0043628207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL024475200Medicaid
FL963882YOtherMEDICARE