Brillantes, Miguel B

Brillantes, Miguel B is an individual health care provider with primary practice located at 1565 North Main Street Suite 306, Fall River MA 02720-2972. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Brillantes, Miguel B can be contacted via phone (508) 973-9500.

Contact Information

Primary practice address
1565 North Main Street Suite 306 Fall River MA 02720-2972
Fax: (508) 973-0351
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 154081 Massachusetts

Profile Details

NPI number 1609878859
LBN Legal business name Brillantes, Miguel B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Apr 20th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609878859 NPPES
Massachusetts MEDICAID 110059156A

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