Individual
AGUSTIN ANDRADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4302 ALTON RD, SUITE 200, MIAMI BEACH, FL 33140-2891
(305) 672-7560
Mailing address
4302 ALTON RD, SUITE 200, MIAMI BEACH, FL 33140-2891
(305) 672-7560
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME67832
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD4618
RAILROAD MEDICARE
FL
Enumeration date
06/14/2006
Last updated
04/09/2008
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