Healthcare Provider Details

I. General information

NPI: 1740432236
Provider Name (Legal Business Name): ALBERT CANAS, MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2008
Last Update Date: 10/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1680 MICHIGAN AVE STE 912
MIAMI BEACH FL
33139-2550
US

IV. Provider business mailing address

1680 MICHIGAN AVE STE 912
MIAMI BEACH FL
33139-2550
US

V. Phone/Fax

Practice location:
  • Phone: 305-534-0503
  • Fax: 305-675-0623
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ALEXANDRA GARCIA
Title or Position: BILLING MANAGER
Credential:
Phone: 305-273-5199