Healthcare Provider Details

I. General information

NPI: 1710975909
Provider Name (Legal Business Name): JOSE IGNACIO ALMEIDA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2005
Last Update Date: 07/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 S MIAMI AVE
MIAMI FL
33129-1102
US

IV. Provider business mailing address

PO BOX 491365
KEY BISCAYNE FL
33149-7365
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
# 2
Primary TaxonomyN
Taxonomy Code202K00000X
TaxonomyPhlebology Physician
License NumberME69886
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: