MEDICARE: ALBERT A TITUS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	ME80817	FL
2	208600000X	Surgery Physician	1613	VI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	35818	OTHER	FL	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104802792
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALBERT A TITUS MD

Provider Business Mailing Address
First Line	:	9086 PETERS REST
Second Line	:
City	:	CHRISTIANSTED
State	:	VI
Zip	:	00820-5617
Country	:	US
Telephone Number	:	340-715-7779
Fax Number	:

Provider Business Practice Location Address
First Line	:	4500 SUNNY ISLE STE 26B
Second Line	:
City	:	CHRISTIANSTED
State	:	VI
Zip	:	00820-4493
Country	:	US
Telephone Number	:	340-715-7779
Fax Number	:	877-451-0296

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/16/2005
Last Update Date	:	05/02/2024

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Directions to “ ALBERT A TITUS MD” Practice Location

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