Provider Demographics
NPI:1225375025
Name:ALDANA, LUIS E (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LUIS
Middle Name:E
Last Name:ALDANA
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15000 MIAMI LAKES DR E
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-2700
Mailing Address - Country:US
Mailing Address - Phone:786-348-4201
Mailing Address - Fax:
Practice Address - Street 1:15000 MIAMI LAKES DR E
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2700
Practice Address - Country:US
Practice Address - Phone:305-818-0235
Practice Address - Fax:305-818-7125
Is Sole Proprietor?:No
Enumeration Date:2013-01-14
Last Update Date:2013-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS49607183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist