| Doctor Name: | MAURICIO E RANGEL |
| NPI Number: | 1104069582 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | ME104216 |
| Business Practice Address: | 6636 Forest Ave New Port Richey, FL - 346532603 |
| Business Phone Number: | 3525182000 |
| Business Fax Number: | 3525675193 |
| Mailing Address: | Po Box 232, DADE CITY |
| State: | FL |
| Postal Code: | 335260232 |
| Phone Number: | 3525182000 |
| Fax Number: | 3525675193 |
| NPI Enumeration Date: | 04/14/2009 |
| NPI Last Update Date: | 03/21/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME104216 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |