=====================================================
General NPI Number Information
=====================================================
NPI Number | 1033180443
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ALEJANDRO F AMORETTI MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/01/2006
-----------------------------------------------------
Last Update Date | 11/18/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 11645 BISCAYNE BLVD STE 103-104
-----------------------------------------------------
City | NORTH MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33181-3155
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-538-8835
-----------------------------------------------------
Fax | 305-994-0054
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 11645 BISCAYNE BLVD STE 207
-----------------------------------------------------
City | NORTH MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33181-3138
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-538-8835
-----------------------------------------------------
Fax | 305-994-0054
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208000000X
-----------------------------------------------------
Taxonomy Name | Pediatrics Physician
-----------------------------------------------------
License Number | ME43736
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------