Provider Demographics
NPI:1639130354
Name:PRATS, ANTONIO R (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTONIO
Middle Name:R
Last Name:PRATS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3641 S MIAMI AVE STE 353B
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-4204
Mailing Address - Country:US
Mailing Address - Phone:305-854-4334
Mailing Address - Fax:305-854-6966
Practice Address - Street 1:3641 S MIAMI AVE STE 353B
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-4204
Practice Address - Country:US
Practice Address - Phone:305-854-4334
Practice Address - Fax:305-854-6966
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME56336207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL035679400Medicaid
FLE16160Medicare UPIN
FL035679400Medicaid