Provider Demographics
NPI:1851505119
Name:ACUNA, ANDREIA (MD)
Entity Type:Individual
Prefix:
First Name:ANDREIA
Middle Name:
Last Name:ACUNA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4250 ALAFAYA TRL
Mailing Address - Street 2:STE 212-147
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-9412
Mailing Address - Country:US
Mailing Address - Phone:407-571-9185
Mailing Address - Fax:321-444-6025
Practice Address - Street 1:11399 LAKE UNDERHILL RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32825-5023
Practice Address - Country:US
Practice Address - Phone:407-207-6768
Practice Address - Fax:407-249-5025
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2017-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME119062207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ152494Medicare PIN
AZZ152495Medicare PIN