Andrade Ortiz, Werner Alfredo

Andrade Ortiz, Werner Alfredo is an individual health care provider with primary practice located at 777 E 25Th St Suite 420, Hialeah FL 33013-3825. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Andrade Ortiz, Werner Alfredo can be contacted via phone (305) 691-0118.

Contact Information

Primary practice address
777 E 25Th St Suite 420 Hialeah FL 33013-3825
Phone: (305) 691-0118
Fax: (305) 696-0007
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME117468 Florida

Profile Details

NPI number 1366616484
LBN Legal business name Andrade Ortiz, Werner Alfredo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2008
Last updated Jul 21st, 2022 - about 2 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 1366616484 NPPES
Arizona MEDICAID 539106
Arizona MEDICAID 009665200
Arizona Other Z138906

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