Provider Demographics
NPI:1013478494
Name:RINCON, ANDREA C (MD)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:C
Last Name:RINCON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:CAROLINA
Other - Last Name:RINCON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:9595 N KENDALL DR #103
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-0001
Mailing Address - Country:US
Mailing Address - Phone:305-279-8222
Mailing Address - Fax:
Practice Address - Street 1:9595 N KENDALL DR #103
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-0001
Practice Address - Country:US
Practice Address - Phone:305-279-8222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-27
Last Update Date:2023-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
FLME160270207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program