Provider Demographics
NPI:1134221732
Name:ANDREU, ROBERT (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:ANDREU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ROBERTO
Other - Middle Name:
Other - Last Name:ANDREU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:900 W 49TH ST
Mailing Address - Street 2:SUITE 234
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-3402
Mailing Address - Country:US
Mailing Address - Phone:305-558-2930
Mailing Address - Fax:305-825-8200
Practice Address - Street 1:900 W 49TH ST
Practice Address - Street 2:SUITE 234
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-3402
Practice Address - Country:US
Practice Address - Phone:305-558-2930
Practice Address - Fax:305-825-8200
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-02
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0046062207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL045 48 8500Medicaid
FL045 48 8500Medicaid
FL34021ZMedicare PIN
FL045 48 8500Medicaid