Provider Demographics
NPI:1881914836
Name:JUAN J ALBERTI FLOR MD, PA
Entity type:Organization
Organization Name:JUAN J ALBERTI FLOR MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:ALBERTI FLOR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-446-2626
Mailing Address - Street 1:351 NW 42ND AVE
Mailing Address - Street 2:SUITE 408
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-5683
Mailing Address - Country:US
Mailing Address - Phone:305-446-2626
Mailing Address - Fax:305-444-7342
Practice Address - Street 1:351 NW 42ND AVE
Practice Address - Street 2:SUITE 408
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-5683
Practice Address - Country:US
Practice Address - Phone:305-446-2626
Practice Address - Fax:305-444-7342
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-01
Last Update Date:2010-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL38852207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL040929400Medicaid
FL96733BOtherMEDICARE NUMBER
FLE19733Medicare UPIN