Individual
CANDIDO ANAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 243-1960
(305) 243-5546
Mailing address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 243-1960
(305) 243-5546
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
236079
NY
207R00000X
Internal Medicine Physician
Primary
ME113276
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00695941
MEDICAID GROUP NUMBER ESSEX STREET
NY
05
—
02741739
—
NY
01
—
331978
MEDICARE GROUP NUMBER ESSEX STREET
NY
Enumeration date
04/13/2006
Last updated
01/22/2020
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