Healthcare Provider Details

I. General information

NPI: 1831181643
Provider Name (Legal Business Name): JOSE J. ALDRICH, M.D., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2005
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

351 N.W. 42ND AVE. SUITE 404
MIAMI FL
33126-5688
US

IV. Provider business mailing address

351 N.W. 42ND AVE. SUITE 404
MIAMI FL
33126-5688
US

V. Phone/Fax

Practice location:
  • Phone: 305-856-5733
  • Fax: 305-441-0396
Mailing address:
  • Phone: 305-856-5733
  • Fax: 305-441-0396

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberME0037778
License Number StateFL

VIII. Authorized Official

Name: DR. JOSE J. ALDRICH
Title or Position: PRESIDENT
Credential: M.D.
Phone: 305-856-5733