Wilfredo Octavio Braceras, RPH

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

PS28468 Issued in FL

Practice address

13325 SW 124TH St # 2
Miami, FL 33186-6418

Phone

(786) 691-7808

NPI assigned

Dec 10, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1639094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1003575614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10320 SW 166TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961086",
            "telephone_number": "786-691-7808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13325 SW 124TH ST # 2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866418",
            "telephone_number": "786-691-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACERAS",
        "first_name": "WILFREDO",
        "middle_name": "OCTAVIO",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-10",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "FL",
            "license": "PS28468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cornelius Joaquim Braam, MD
• Abigail Ruben Bracamonte
• Bracepros LLC
• Iliana Braceras
• Ines Maria Braceras, M.D.
• Patricia Brache Placeres, BCBA
• Osviel Brache Rodriguez
• Nancy Brache
• Yilian Braches Martinez, SLPA
• Elena Frauke Brachtel, MD

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Miami, FL
• Providers in Miami, FL by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.