Provider Demographics
NPI:1669717187
Name:HUGHES, ALEXANDER PATRICK (OTR/L)
Entity type:Individual
Prefix:MR
First Name:ALEXANDER
Middle Name:PATRICK
Last Name:HUGHES
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8103 CAMINO REAL APT 212
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-6734
Mailing Address - Country:US
Mailing Address - Phone:786-246-0495
Mailing Address - Fax:
Practice Address - Street 1:8103 CAMINO REAL APT 212
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-6734
Practice Address - Country:US
Practice Address - Phone:786-246-0495
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-10
Last Update Date:2012-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL15010313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility