Healthcare Provider Details

I. General information

NPI: 1598765091
Provider Name (Legal Business Name): ADOLFO ALEJANDRO ALDAPE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/26/2005
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8300 RED BUG LAKE RD
OVIEDO FL
32765-6801
US

IV. Provider business mailing address

4070 N CHINOOK LN
ORMOND BEACH FL
32174-9325
US

V. Phone/Fax

Practice location:
  • Phone: 956-337-9023
  • Fax:
Mailing address:
  • Phone: 956-337-9023
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberK9971
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberK9971
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberK9971
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: