Healthcare Provider Details

I. General information

NPI: 1679222319
Provider Name (Legal Business Name): ANA EUGENIA IGLESIAS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2022
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 N FLAGLER DR
WEST PALM BEACH FL
33401-3428
US

IV. Provider business mailing address

1120 NW 14TH ST
MIAMI FL
33136-2107
US

V. Phone/Fax

Practice location:
  • Phone: 561-571-8819
  • Fax:
Mailing address:
  • Phone: 305-243-2301
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number178958
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA208387
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: