# ANSELMO H. HUMARAN MD,PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316249279
- **Authorized official:** DR. ANSELMO HUMARAN MD (PRESIDENT)
- **Authorized official phone:** (305) 232-2066

## Contact information

- **Practice address:** 11474 QUAIL ROOST DR, MIAMI, FL 33157-6575
- **Practice address phone:** (305) 232-2066
- **Mailing address:** 11474 QUAIL ROOST DR, MIAMI, FL 33157-6575
- **Mailing address phone:** (305) 232-2066

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | ME41680 | FL | Yes |

## Other

- **Enumeration date:** 11/29/2010
- **Last updated:** 09/04/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 96178 | MEDICARE ID | FL |