Individual
ALEJANDRO M FORTEZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4960 SW 72ND AVE, SUITE 406, MIAMI, FL 33155-5544
(305) 662-5200
(305) 667-1275
Mailing address
4960 SW 72ND AVE, SUITE 406, MIAMI, FL 33155-5544
(305) 662-5200
(305) 667-1275
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
ME63972
FL
2084V0102X
Vascular Neurology Physician
Primary
0063972
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3740749
—
FL
05
—
3740749-00
—
FL
Enumeration date
07/20/2006
Last updated
10/26/2016
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