Provider Demographics
NPI:1578621702
Name:ANGUEIRA-SERRANO, EUGENIO (MD)
Entity Type:Individual
Prefix:DR
First Name:EUGENIO
Middle Name:
Last Name:ANGUEIRA-SERRANO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:EUGENIO
Other - Middle Name:
Other - Last Name:ANGUEIRA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:180 MORNINGSIDE DR.
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33133-6906
Mailing Address - Country:US
Mailing Address - Phone:305-644-2212
Mailing Address - Fax:305-643-4111
Practice Address - Street 1:5040 NW 7TH ST
Practice Address - Street 2:STE 635
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-3422
Practice Address - Country:US
Practice Address - Phone:305-644-2212
Practice Address - Fax:786-475-7787
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2019-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME66435207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL008977200Medicaid
FLG16021Medicare UPIN