German-Mena, Edgar Antonio

German-Mena, Edgar Antonio is an sole proprietor health care provider with primary practice located at 522 East 25 Street , Hialeah FL 33013. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. German-Mena, Edgar Antonio can be contacted via phone (305) 691-2000.

Contact Information

Primary practice address
522 East 25 Street Hialeah FL 33013
Phone: (305) 691-2000
Fax: (305) 691-0075
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X ME 100985 Florida
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X ME100985 Florida

Profile Details

NPI number 1548430515
LBN Legal business name German-Mena, Edgar Antonio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 6th, 2008
Last updated Sep 7th, 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 1548430515 NPPES
Other FQ196Z MEDICARE PTAN

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