Provider Demographics
NPI:1376119503
Name:PULIDO WILCHES, ANDRES ARTURO (MD)
Entity type:Individual
Prefix:
First Name:ANDRES
Middle Name:ARTURO
Last Name:PULIDO WILCHES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1611 NW 12TH AVE OFC 279WEST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-1005
Mailing Address - Country:US
Mailing Address - Phone:305-585-8178
Mailing Address - Fax:305-585-5743
Practice Address - Street 1:1611 NW 12TH AVE OFC 279WEST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1005
Practice Address - Country:US
Practice Address - Phone:305-585-8178
Practice Address - Fax:305-585-5743
Is Sole Proprietor?:No
Enumeration Date:2021-05-28
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME1711632085R0202X, 2085N0904X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085N0904XAllopathic & Osteopathic PhysiciansRadiologyNuclear Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology