Provider Demographics
NPI:1114125069
Name:GALINANES, EDGAR LUIS (MD)
Entity Type:Individual
Prefix:DR
First Name:EDGAR
Middle Name:LUIS
Last Name:GALINANES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:6200 SUNSET DR
Mailing Address - Street 2:SUITE 505
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-4828
Mailing Address - Country:US
Mailing Address - Phone:305-668-1660
Mailing Address - Fax:305-668-1650
Practice Address - Street 1:6200 SUNSET DR
Practice Address - Street 2:SUITE 505
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-4828
Practice Address - Country:US
Practice Address - Phone:305-668-1660
Practice Address - Fax:305-668-1650
Is Sole Proprietor?:No
Enumeration Date:2007-07-03
Last Update Date:2015-05-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2007019204208600000X
FLME1229302086S0129X
TXP74412086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXJ0201630OtherTEXAS DPS NUMBER
FLME122930OtherFLORIDA MEDICAL LICENSE
TXP7441OtherTEXAS MEDICAL LICENSE