Dr. Mario Enrique Tano
MD | Pediatric Gastroenterology | Male
Dr. Mario Enrique Tano, MD is a Hollywood, Florida based Pediatric doctor with medical specialization in
Pediatric Gastroenterology.
Current practice location of Dr. Mario Enrique Tano is
3800 Johnson St Ste J, Hollywood, Florida - 33021-6030. He can be contacted on phone at
954-967-9400 and fax number 954-967-9551.
Dr. Mario Enrique Tano is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Mario Enrique Tano is
1174510341 which was assigned by NPPES on 04 Oct, 2005 and it was last updated on 08 Feb, 2022.
Dr. Mario Enrique Tano license number is
ME58352 for Pediatrics Pediatric Gastroenterology (2080P0206X) in Florida.
Dr. Mario Enrique Tano specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Complete Profile:
Dr. Mario Enrique Tano basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Gastroenterology |
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| Provider Name : | Dr. Mario Enrique Tano |
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| Credential : | MD |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
Dr. Mario Enrique Tano address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3800 Johnson St Ste J
Hollywood, FL, 33021-6030
United States |
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| Phone Number : | 954-967-9400 |
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| Fax Number : | 954-967-9551 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1174510341 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 04 Oct, 2005 |
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| Last Updated On : | 08 Feb, 2022 |
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Medicare Participation:
Dr. Mario Enrique Tano participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 7315125259 |
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| Medicare Enrollment ID : | I20110627000751 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Other |
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| Graduation Year : | 1981 |
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| Accepts Medicare? | Yes. Dr. Mario Enrique Tano accepts medicare insurance. |
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Group Practice Association:
Dr. Mario Enrique Tano is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Mario Enrique Tano is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Kidz Medical Services Inc | 3678536240 | 23 | 975 Baptis Way
Homestead, FL - 330337600
Ph: 3056611515243 | Yes |
| Kidz Medical Services Inc | 3678536240 | 23 | 975 Baptist Way
Suite 203
Homestead, FL - 330337600
Ph: 3052701113 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Mario Enrique Tano are as mentioned. Primary taxonomy code for Dr. Mario Enrique Tano, MD is
2080P0206X (Pediatrics Pediatric Gastroenterology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0206X | Pediatrics Pediatric Gastroenterology | Yes | ME58352 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Mario Enrique Tano such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 064237100 | MEDICAID | FL | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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7100 W 20TH AVE STE 616,
HIALEAH, FL, 33016-1814
United States | HIALEAH, FL | 305-556-4263 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 5955 Ponce De Leon Blvd.
Coral Gables, FL, 33146
United States |
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| Phone Number : | 305-661-1515 |
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| Fax Number : | 305-662-3723 |
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Business Location:
Patients can refer following map for directions to
Dr. Mario Enrique Tano practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.