Madruga, Mario

Madruga, Mario is an individual health care provider with primary practice located at 21 W Columbia St Mp 160, Orlando FL 32806-1133. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Madruga, Mario can be contacted via phone (321) 841-6600.

Contact Information

Primary practice address
21 W Columbia St Mp 160 Orlando FL 32806-1133
Fax: (321) 841-4085
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME70053 Florida

Profile Details

NPI number 1568432623
LBN Legal business name Madruga, Mario
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Nov 10th, 2016 - about 9 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 1568432623 NPPES
Florida MEDICAID 379796100
Florida Other ME70053

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