Healthcare Provider Details

I. General information

NPI: 1326033655
Provider Name (Legal Business Name): ALEJANDRA ANGEL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/13/2005
Last Update Date: 07/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8700 N KENDALL DR STE 208
MIAMI FL
33176-2206
US

IV. Provider business mailing address

8700 N KENDALL DR STE 208
MIAMI FL
33176-2206
US

V. Phone/Fax

Practice location:
  • Phone: 305-274-3130
  • Fax: 305-274-1699
Mailing address:
  • Phone: 305-274-3130
  • Fax: 305-274-1699

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberME 106657
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: