Provider Demographics
NPI:1700967619
Name:CANAS, ALBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:
Last Name:CANAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1680 MICHIGAN AVE
Mailing Address - Street 2:SUITE 912
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33139-2538
Mailing Address - Country:US
Mailing Address - Phone:305-534-0503
Mailing Address - Fax:305-675-0106
Practice Address - Street 1:1680 MICHIGAN AVE
Practice Address - Street 2:SUITE 912
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33139-2538
Practice Address - Country:US
Practice Address - Phone:305-534-0503
Practice Address - Fax:305-675-0106
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0063054207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLF78251Medicare UPIN
FL25174WMedicare PIN