Healthcare Provider Details

I. General information

NPI: 1447327697
Provider Name (Legal Business Name): ALVARO J. DANGOND, MD,PA.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2006
Last Update Date: 04/09/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7001 SW 97TH AVE STE 201
MIAMI FL
33173-1410
US

IV. Provider business mailing address

8501 SW 124TH AVENUE SUITE 208
MIAMI FL
33183
US

V. Phone/Fax

Practice location:
  • Phone: 305-595-4478
  • Fax: 305-595-5027
Mailing address:
  • Phone: 305-595-4478
  • Fax: 305-595-5027

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ALVARO JOSE DANGOND
Title or Position: PRESIDENT
Credential: MD
Phone: 305-595-4478