Provider Demographics
NPI:1891825295
Name:MARIO A ALMEIDA MD PA
Entity Type:Organization
Organization Name:MARIO A ALMEIDA MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIO
Authorized Official - Middle Name:A
Authorized Official - Last Name:ALMEIDA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-669-3360
Mailing Address - Street 1:7000 SW 62ND AVE
Mailing Address - Street 2:SUITE 605
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-4716
Mailing Address - Country:US
Mailing Address - Phone:305-669-3360
Mailing Address - Fax:305-669-3599
Practice Address - Street 1:7000 SW 62ND AVE
Practice Address - Street 2:SUITE 605
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-4716
Practice Address - Country:US
Practice Address - Phone:305-669-3360
Practice Address - Fax:305-669-3599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2021-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL07015Medicare PIN
FLD67111Medicare UPIN