Provider Demographics
NPI:1043230683
Name:FERRO, ALEJANDRO (MD)
Entity Type:Individual
Prefix:
First Name:ALEJANDRO
Middle Name:
Last Name:FERRO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4308 ALTON RD
Mailing Address - Street 2:SUITE 610
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33140-4556
Mailing Address - Country:US
Mailing Address - Phone:786-276-9341
Mailing Address - Fax:782-276-9344
Practice Address - Street 1:4308 ALTON RD
Practice Address - Street 2:SUITE 610
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33140-4556
Practice Address - Country:US
Practice Address - Phone:786-276-9341
Practice Address - Fax:782-276-9344
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2011-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME90403174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL270723300Medicaid
FL270723300Medicaid
FLU3851Medicare ID - Type UnspecifiedFLORIDA