Healthcare Provider Details

I. General information

NPI: 1073315842
Provider Name (Legal Business Name): ANDRES A ALBORNOZ MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2025
Last Update Date: 04/01/2025
Certification Date: 04/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 CORPORATE DR SUITE 100
BOYNTON BEACH FL
33426-6654
US

IV. Provider business mailing address

4516 GULF SOUNDS LN
LAKE WORTH FL
33467-1108
US

V. Phone/Fax

Practice location:
  • Phone: 561-907-1737
  • Fax:
Mailing address:
  • Phone: 561-907-1737
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0008X
TaxonomyHepatology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ANDRES ANTONIO ALBORNOZ
Title or Position: OWNER/ PHYSICIAN
Credential: MD
Phone: 561-907-1737