Provider Demographics
NPI:1245550102
Name:ALEJANDRO PLA MD PA
Entity type:Organization
Organization Name:ALEJANDRO PLA MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALEJANDRO
Authorized Official - Middle Name:
Authorized Official - Last Name:PLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:754-263-2306
Mailing Address - Street 1:PO BOX 820841
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33082-0841
Mailing Address - Country:US
Mailing Address - Phone:754-263-2306
Mailing Address - Fax:754-263-2305
Practice Address - Street 1:218 E 49TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33013-1855
Practice Address - Country:US
Practice Address - Phone:754-263-2306
Practice Address - Fax:754-263-2305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-02
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZME97968207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1780649376OtherINDIVIDUAL NPI