# ALEXANDER MEDICAL SPA, PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Alexander Medical Aesthetics, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033788443
- **Authorized official:** MR. ALEXANDER TIRADO PA-C (OWNER)
- **Authorized official phone:** (305) 962-1789

## Contact information

- **Practice address:** 3363 NE 163RD ST STE 505, NORTH MIAMI BEACH, FL 33160-4423
- **Practice address phone:** (786) 801-3122
- **Practice address fax:** (305) 513-5214
- **Mailing address:** 3363 NE 163RD ST STE 505, NORTH MIAMI BEACH, FL 33160-4423
- **Mailing address phone:** (786) 801-3122
- **Mailing address fax:** (305) 513-5214

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/21/2021
- **Last updated:** 06/21/2021