Provider Demographics
NPI:1073618120
Name:KRAJEWSKI, EDUARDO (MD)
Entity Type:Individual
Prefix:
First Name:EDUARDO
Middle Name:
Last Name:KRAJEWSKI
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 1:7765 SW 87TH AVE
Mailing Address - Street 2:SUITE 212A
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-2596
Mailing Address - Country:US
Mailing Address - Phone:305-596-3080
Mailing Address - Fax:305-596-3073
Practice Address - Street 1:7765 SW 87TH AVE
Practice Address - Street 2:SUITE 212A
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-2596
Practice Address - Country:US
Practice Address - Phone:305-596-3080
Practice Address - Fax:305-596-3073
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2010-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME93035208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL276493800Medicaid
FL148XTOtherBLUE CROSS BLUE SHIELD
FL7643862OtherAETNA PPO
FL1371866OtherAETNA HMO
FL305494OtherAVMED
FL365258OtherWELLCARE
FLAC824ZMedicare PIN
FLI73574Medicare UPIN