Provider Demographics
NPI:1073525143
Name:ABRIL, ANDINO (MD)
Entity Type:Individual
Prefix:
First Name:ANDINO
Middle Name:
Last Name:ABRIL
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 1:8333 W MCNAB RD
Mailing Address - Street 2:#101
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-3242
Mailing Address - Country:US
Mailing Address - Phone:954-720-0056
Mailing Address - Fax:954-721-4120
Practice Address - Street 1:8333 W MCNAB RD
Practice Address - Street 2:#101
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-3242
Practice Address - Country:US
Practice Address - Phone:954-720-0056
Practice Address - Fax:954-721-4120
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL31389Medicare PIN
FL31389Medicare UPIN