# POLICLINICO, INC.

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

## Provider details

- **NPI number:** 1386095636
- **Authorized official:** MR. JORGE BRACERAS (PRESIDENT)
- **Authorized official phone:** (786) 365-7979

## Contact information

- **Practice address:** 11025 SW 84TH ST, COTTAGE 12, MIAMI, FL 33173-3857
- **Practice address phone:** (786) 534-8080
- **Practice address fax:** (786) 276-7008
- **Mailing address:** 11025 SW 84TH ST, COTTAGE 12, MIAMI, FL 33173-3857
- **Mailing address phone:** (786) 534-8080
- **Mailing address fax:** (786) 276-7008

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RR0500X | Rheumatology Physician | — | NULL | — |
| 207RR0500X | Rheumatology Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/28/2016
- **Last updated:** 06/28/2016