Provider Demographics
NPI:1447217005
Name:MITRANI, ALBERTO ARMANDO (MD)
Entity Type:Individual
Prefix:
First Name:ALBERTO
Middle Name:ARMANDO
Last Name:MITRANI
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 1:283 CATALONIA AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-6712
Mailing Address - Country:US
Mailing Address - Phone:305-476-7771
Mailing Address - Fax:
Practice Address - Street 1:283 CATALONIA AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-6712
Practice Address - Country:US
Practice Address - Phone:305-476-7771
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME47351207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD50823Medicare UPIN
FL03767Medicare ID - Type Unspecified