Healthcare Provider Details

I. General information

NPI: 1194754689
Provider Name (Legal Business Name): ALEXANDRE C FERREIRA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2006
Last Update Date: 01/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 BISCAYNE BLVD STE 230
MIAMI FL
33137-9800
US

IV. Provider business mailing address

1500 NW 12TH AVE STE 810
MIAMI FL
33136-1037
US

V. Phone/Fax

Practice location:
  • Phone: 786-466-8490
  • Fax:
Mailing address:
  • Phone: 305-585-6649
  • Fax: 305-243-8470

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberME62997
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberME62997
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberME62997
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: