Individual
ANDRE TAMAYO CHELALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4302 ALTON RD STE 750, MIAMI BEACH, FL 33140-2893
(305) 674-6797
(305) 674-0784
Mailing address
4302 ALTON RD STE 750, MIAMI BEACH, FL 33140-2893
(305) 674-6797
(305) 674-0784
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS8197
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
037212
NHP
FL
01
—
110247108
RAILROAD MEDICARE
—
05
—
266357100
—
FL
01
—
273039
AVMED
—
01
—
3439201
AETNA
FL
01
—
51795
BCBS
FL
01
—
7688881
GHI
FL
01
—
N203914
WELLCARE
FL
Enumeration date
06/21/2006
Last updated
03/23/2022
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