Individual
ANDREINA F HURTADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
302 NW 179TH AVE, SUITE 202, PEMBROKE PINES, FL 33029-2818
(954) 433-5152
(954) 433-5114
Mailing address
302 NW 179TH AVE, SUITE 202, PEMBROKE PINES, FL 33029-2818
(954) 433-5152
(954) 433-5114
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME84373
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01579
BLUE CTROSS BLUE SHIELD
FL
01
—
11213201
CITRUS HEALTH CARE
FL
01
—
224581
EYE MED
FL
01
—
300124
AV MED
FL
01
—
33512312
CIGNA
FL
01
—
4320
TOTAL HEALTH CHOICE
FL
01
—
46513
SPECTA
FL
01
—
56223
NHP
FL
01
—
7280759
AETNA
FL
Enumeration date
08/03/2005
Last updated
02/19/2008
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