Provider Demographics
NPI:1871820043
Name:CARDENAS, ANDRES
Entity Type:Individual
Prefix:
First Name:ANDRES
Middle Name:
Last Name:CARDENAS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SANTALO 138-142, ESC 2, 4TA-1
Mailing Address - Street 2:
Mailing Address - City:BARCELONA
Mailing Address - State:BARCELONA
Mailing Address - Zip Code:08021
Mailing Address - Country:ES
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:VILLAROEL 170 , ESC 3-2
Practice Address - Street 2:
Practice Address - City:BARCELONA
Practice Address - State:BARCELONA
Practice Address - Zip Code:08021
Practice Address - Country:ES
Practice Address - Phone:034-227-1713
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-10
Last Update Date:2009-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA155486282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital