Individual
JOSE ANDRADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
ME0049328
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
142941
ONE HEALTH PLAN
FL
01
—
18251
HEALTHEASE
FL
01
—
2000213
GHI
FL
01
—
201227
AMERIGROUP
FL
05
—
378451700
—
FL
01
—
47817071008
CIGNA
FL
01
—
624969
AETNA
FL
01
—
9274
AVMED
FL
Enumeration date
10/14/2005
Last updated
10/02/2020
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