Individual
ALEXANDER ANDRE KONG IBANEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7400 SW 87TH AVE STE 100, MIAMI, FL 33173-5458
(786) 204-4201
Mailing address
PO BOX 198054, ATLANTA, GA 30384-8054
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME155321
FL
207RC0000X
Cardiovascular Disease Physician
Primary
ME155321
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114749000
—
FL
Enumeration date
03/18/2019
Last updated
05/04/2026
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