Provider Demographics
NPI:1932459047
Name:BUILES, ANDRES (OT/L)
Entity Type:Individual
Prefix:MR
First Name:ANDRES
Middle Name:
Last Name:BUILES
Suffix:
Gender:M
Credentials:OT/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13541 NW 5TH CT APT 202
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33028-2258
Mailing Address - Country:US
Mailing Address - Phone:786-546-5443
Mailing Address - Fax:
Practice Address - Street 1:13541 NW 5TH CT APT 202
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33028-2258
Practice Address - Country:US
Practice Address - Phone:786-546-5443
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-17
Last Update Date:2012-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT11733225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist