Organization
LETICIA ADAN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARISSE MAJELLA DISTURA JINGCO (OFFICE MANAGER)
(305) 531-1664
Entity
Organization
Contact information
Practice address
4302 ALTON RD STE 420, MIAMI BEACH, FL 33140-2849
(305) 531-1664
(305) 531-9965
Mailing address
4302 ALTON RD STE 420, MIAMI BEACH, FL 33140-2849
(305) 216-5048
(305) 531-9965
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38275
BLUE CROSS BLUE SHIELD
FL
01
—
DB3262
RAILROAD MEDICARE
FL
Enumeration date
06/02/2006
Last updated
09/07/2022
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