Andrade, Agustin

Andrade, Agustin is an individual health care provider with primary practice located at 4302 Alton Rd Suite 200, Miami Beach FL 33140-2891. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Andrade, Agustin can be contacted via phone (305) 672-7560.

Contact Information

Primary practice address
4302 Alton Rd Suite 200 Miami Beach FL 33140-2891
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME67832

Profile Details

NPI number 1104869064
LBN Legal business name Andrade, Agustin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Apr 9th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104869064 NPPES
Florida Other DD4618 RAILROAD MEDICARE

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