Healthcare Provider Details

I. General information

NPI: 1215207410
Provider Name (Legal Business Name): JOSE I. ALMEIDA MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2012
Last Update Date: 06/01/2021
Certification Date: 06/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 S MIAMI AVE
MIAMI FL
33129-1102
US

IV. Provider business mailing address

1501 S MIAMI AVE
MIAMI FL
33129-1102
US

V. Phone/Fax

Practice location:
  • Phone: 305-854-1555
  • Fax: 786-541-2101
Mailing address:
  • Phone: 305-854-1555
  • Fax: 786-541-2101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberME69886
License Number StateFL

VIII. Authorized Official

Name: DR. JOSE I ALMEIDA
Title or Position: OWNER
Credential: MD
Phone: 305-854-1555