Provider Demographics
NPI:1427001692
Name:ANDRES, MONICA (DPM)
Entity Type:Individual
Prefix:DR
First Name:MONICA
Middle Name:
Last Name:ANDRES
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7190 SW 87TH AVE STE 205
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-2512
Mailing Address - Country:US
Mailing Address - Phone:305-807-8089
Mailing Address - Fax:786-254-7703
Practice Address - Street 1:7190 SW 87TH AVE STE 205
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-2512
Practice Address - Country:US
Practice Address - Phone:305-244-8346
Practice Address - Fax:786-254-7703
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-18
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO 3223213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPO3223OtherPODIATRY STATE LICENSE
FLAC209WOtherMEDICARE PTAN GROUP
FLHU415AOtherMEDICARE PTAN INDIVIDUAL
FLHU415AOtherMEDICARE PTAN INDIVIDUAL