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Individual
MIGUEL R ANTONATOS
Active
Individual
MIGUEL R ANTONATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036138839
IL
207R00000X
Internal Medicine Physician
Primary
036138839
IL
208M00000X
Hospitalist Physician
036138839
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036138839
ILLIONOIS LICENSE
IL
01
—
04-44257
KS LICENSE
KS
01
—
101275982
VA LICENSE
VA
01
—
12087673-1205
UT LICENSE
UT
01
—
12428
SD LICENSE
SD
01
—
17108
ND LICENSE
ND
01
—
20724
NV LICENSE
NV
01
—
21180
NH LICENSE
NH
01
—
25MA10452000
NJ LICENSE
NJ
01
—
28569
MS LICENSE
MS
01
—
30482
WV LICENSE
WV
01
—
311447
NY LICENSE
NY
01
—
33242
NE LICENSE
NE
01
—
33998
SC LICENSE
SC
01
—
37913
OK LICENSE
OK
01
—
412-320
WI LICENSE
WI
01
—
41925
AL LICENSE
AL
01
—
42.0015135
VT LICENSE
VT
01
—
60557
TN LICENSE
TN
01
—
61076
AZ LICENSE
AZ
01
—
68586
MN LICENSE
MN
01
—
85397
GA LICENSE
GA
01
—
C0084
KY LICENSE
KY
01
—
C177591
CA LICENSE
CA
01
—
CDR.0000338
CO LICENSE
CO
01
—
D0090753
MD LICENSE
MD
01
—
EMC0000064
MI LICENSE
MI
01
—
MC-0780
ID LICENSE
ID
01
—
MD-47241
IA LICENSE
IA
01
—
MD61023368
WA LICENSE
WA
01
—
ME147653
FL LICENSE
FL
Enumeration date
07/23/2011
Last updated
01/24/2023
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