Provider Demographics
NPI:1598831554
Name:GALLERANI, ALBERTO S (MD)
Entity Type:Individual
Prefix:DR
First Name:ALBERTO
Middle Name:S
Last Name:GALLERANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ALBERTO
Other - Middle Name:S
Other - Last Name:SANTIBANEZ-GALLERANI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:21150 BISCAYNE BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-2319
Mailing Address - Country:US
Mailing Address - Phone:305-933-1862
Mailing Address - Fax:305-466-1120
Practice Address - Street 1:21150 BISCAYNE BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1226
Practice Address - Country:US
Practice Address - Phone:305-933-1862
Practice Address - Fax:305-466-1120
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME91412174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist