Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | ME49965 | FL |
NPI | 1003827809 |
---|---|
Provider Name | Pasqual Bracero |
First Address | Rockledge, FL 32955-4306 |
Second Address | Orlando, FL 32828-4507 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2006 |
Last Update Date | 31/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03928 | BCBS - INDIVIDUAL (01) | FL |
045-914-300 | (05) | FL |
0700168 | UNITED HEALTHCARE (01) | FL |
205242 | AVMED (01) | FL |
2446154 | AETNA HMO - GROUP (01) | FL |
261-853-200 | (05) | FL |
261-853-201 | (05) | FL |
38471 | BCBS - GROUP LOC. 1 (01) | FL |
38471A | BCBS - GROUP LOC. 2 (01) | FL |
4278951 | AETNA PPO - INDIVIDUAL (01) | FL |
4425436 | AETNA PPO - GROUP (01) | FL |
59-2873107 - D | HUMANA (01) | FL |
922260 | AETNA - INDIVIDUAL (01) | FL |
D60989 | (02) | FL |
OA173 | MEDICARE HF (01) | FL |
P1830864 | OXFORD HEALTH (01) | FL |