Provider Demographics
NPI:1720042682
Name:HARTSTEIN, ALAN I (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:I
Last Name:HARTSTEIN
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 1:2 GROVE ISLE DR
Mailing Address - Street 2:SUITE 1604
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-4119
Mailing Address - Country:US
Mailing Address - Phone:305-582-6566
Mailing Address - Fax:
Practice Address - Street 1:2 GROVE ISLE DR
Practice Address - Street 2:SUITE 1604
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-4119
Practice Address - Country:US
Practice Address - Phone:305-582-6566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-17
Last Update Date:2010-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME79925207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2590123-00Medicaid
FLC92825Medicare UPIN
FL2590123-00Medicaid