Provider Demographics
NPI:1720280563
Name:SARRAGA, ANDRES GUILLERMO (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDRES
Middle Name:GUILLERMO
Last Name:SARRAGA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:21110 BISCAYNE BLVD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-1227
Mailing Address - Country:US
Mailing Address - Phone:305-932-3200
Mailing Address - Fax:305-933-3366
Practice Address - Street 1:21110 BISCAYNE BLVD
Practice Address - Street 2:SUITE 103
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1227
Practice Address - Country:US
Practice Address - Phone:305-932-3200
Practice Address - Fax:305-933-3366
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-04
Last Update Date:2015-04-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR25908208600000X
MA2478982086S0122X
FLME1104722086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery