Provider Demographics
NPI:1649274929
Name:BERMUDEZ, ARMAND J (MD)
Entity type:Individual
Prefix:
First Name:ARMAND
Middle Name:J
Last Name:BERMUDEZ
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3750 W 16TH AVE STE 226U
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-4648
Mailing Address - Country:US
Mailing Address - Phone:305-399-8597
Mailing Address - Fax:786-332-3339
Practice Address - Street 1:3750 W 16TH AVE STE 226U
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-4648
Practice Address - Country:US
Practice Address - Phone:305-399-8597
Practice Address - Fax:786-332-3339
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-02
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME97325207RP1001X, 207R00000X
OH35-041681207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0512725Medicaid
OHD71416Medicare UPIN
OH0512725Medicaid