Provider Demographics
NPI:1114978285
Name:ALCOVER, INGRID A (MD)
Entity Type:Individual
Prefix:
First Name:INGRID
Middle Name:A
Last Name:ALCOVER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13926 SW 47TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-4404
Mailing Address - Country:US
Mailing Address - Phone:305-340-5555
Mailing Address - Fax:
Practice Address - Street 1:13926 SW 47TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-4404
Practice Address - Country:US
Practice Address - Phone:305-340-5555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-13
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 126676207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0610413Medicaid
FL0610413Medicaid
FL0610413Medicaid
A17604Medicare UPIN