Provider Demographics
NPI:1689630592
Name:GELRUD, ANDRES (MD)
Entity Type:Individual
Prefix:
First Name:ANDRES
Middle Name:
Last Name:GELRUD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9500 S DADELAND BLVD
Mailing Address - Street 2:200
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-2866
Mailing Address - Country:US
Mailing Address - Phone:305-468-4185
Mailing Address - Fax:305-675-3378
Practice Address - Street 1:8200 SW 117TH AVE
Practice Address - Street 2:110
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-4825
Practice Address - Country:US
Practice Address - Phone:305-274-5500
Practice Address - Fax:305-274-5512
Is Sole Proprietor?:No
Enumeration Date:2006-04-21
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME131069207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2478724Medicaid
OHP00124490OtherRAIL ROAD MEDICARE
IN200302230Medicaid
FLME131069OtherFLORIDA DEPARTMENT OF HEALTH
TN4047831Medicaid
KY64078728Medicaid
TN4047831Medicaid
KY64078728Medicaid