Individual
DR. ANDREA GRANADOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 666-6511
Mailing address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 666-6511
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2015013313
MO
2080P0205X
Pediatric Endocrinology Physician
2015013313
MO
2080P0205X
Pediatric Endocrinology Physician
Primary
ME150153
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
IL
Enumeration date
04/28/2010
Last updated
04/29/2021
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