Provider Demographics
NPI:1023037983
Name:AMADOR, MARIA EUGENIA (MD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:EUGENIA
Last Name:AMADOR
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:6100 BLUE LAGOON DR STE 365
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-7010
Mailing Address - Country:US
Mailing Address - Phone:786-322-7333
Mailing Address - Fax:786-347-5022
Practice Address - Street 1:1631 SW 107TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-7344
Practice Address - Country:US
Practice Address - Phone:786-456-9005
Practice Address - Fax:786-621-7814
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2023-01-11
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Provider Licenses
StateLicense IDTaxonomies
FLME94815208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL274651400Medicaid