Individual
EDUARDO SCORTEGAGNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1475 NW 12TH AVE, MIAMI, FL 33136-1002
(305) 243-5512
(305) 243-4613
Mailing address
1475 NW 12TH AVE, MIAMI, FL 33136-1002
(305) 243-5512
(305) 243-4613
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
24474
MS
2085R0202X
Diagnostic Radiology Physician
Primary
ME133999
FL
2085R0204X
Vascular & Interventional Radiology Physician
251215
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02505546
—
MS
05
—
192424
—
AL
01
—
P01713179
RAILROAD MEDICARE PTAN
MS
Enumeration date
07/28/2012
Last updated
09/10/2018
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