Individual
DR. DIEGO P ANDRADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4048 EVANS AVE, STE 303, FT MYERS, FL 33901-9390
(239) 332-5344
(239) 332-7246
Mailing address
4048 EVANS AVE, STE 303, FT MYERS, FL 33901-9390
(239) 332-5344
(239) 332-7246
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME0087283
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0867335
CIGNA
FL
05
—
266586700
—
FL
01
—
29149
BSFL
FL
01
—
29149Z
MCR
FL
01
—
3127321
AETNA
FL
01
—
P00032667
MCRR
FL
Enumeration date
05/27/2005
Last updated
04/20/2008
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