NPI 1720962962

Alexandre Buio Mavungo

Practitioner Driver South Portland, ME

Practice location

Address: 54 Hillcrest Ave, South Portland, ME 04106-6821
Phone: (207) 245-8881

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 8644349 (ME)

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Registry record

NPI: 1720962962
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Aug 2025
Record last updated: 1 Aug 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.