Individual
DR. MAURICIO JOSE BACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8900 N KENDALL DR, MIAMI, FL 33176-2118
(786) 596-1960
Mailing address
7333 SW 122ND PL, MIAMI, FL 33183-3628
(786) 390-3675
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME143840
FL
Other
Enumeration date
05/28/2017
Last updated
11/30/2020
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