Provider Demographics
NPI:1033547864
Name:ISABEL FERREIRA, MD, PA
Entity Type:Organization
Organization Name:ISABEL FERREIRA, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEDIATRICIAN / OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ISABEL
Authorized Official - Middle Name:ALTAGRACIA
Authorized Official - Last Name:FERREIRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-827-3303
Mailing Address - Street 1:5590 W 20TH AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-7070
Mailing Address - Country:US
Mailing Address - Phone:305-827-3303
Mailing Address - Fax:305-556-3372
Practice Address - Street 1:5590 W 20TH AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-7070
Practice Address - Country:US
Practice Address - Phone:305-827-3303
Practice Address - Fax:305-556-3372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-14
Last Update Date:2013-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME57254174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty