Healthcare Provider Details

I. General information

NPI: 1245343888
Provider Name (Legal Business Name): ANA CAOS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 SW 27TH AVE SUITE 703
MIAMI FL
33135-2961
US

IV. Provider business mailing address

330 SW 27TH AVE SUITE 703
MIAMI FL
33135-2961
US

V. Phone/Fax

Practice location:
  • Phone: 305-251-3991
  • Fax: 305-251-7982
Mailing address:
  • Phone: 305-251-3991
  • Fax: 305-251-7982

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME0066156
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: