Provider Demographics
NPI:1659780260
Name:MIAMI NEPHROLOGY CONSULTANTS, LLC
Entity Type:Organization
Organization Name:MIAMI NEPHROLOGY CONSULTANTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERTO
Authorized Official - Middle Name:BEHAR
Authorized Official - Last Name:ESQUENAZI
Authorized Official - Suffix:
Authorized Official - Credentials:MD,
Authorized Official - Phone:305-662-3984
Mailing Address - Street 1:7900 SW 57 AVENUE
Mailing Address - Street 2:SUITE 21
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143
Mailing Address - Country:US
Mailing Address - Phone:305-662-3984
Mailing Address - Fax:305-661-1129
Practice Address - Street 1:7900 SW 57 AVENUE
Practice Address - Street 2:SUITE 21
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143
Practice Address - Country:US
Practice Address - Phone:305-662-3984
Practice Address - Fax:305-661-1129
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-07
Last Update Date:2014-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME78552207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty