=====================================================
General NPI Number Information
=====================================================
NPI Number | 1831181643
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JOSE J. ALDRICH, M.D., P.A.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/17/2005
-----------------------------------------------------
Last Update Date | 03/07/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 351 N.W. 42ND AVE. SUITE 404
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33126-5688
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-856-5733
-----------------------------------------------------
Fax | 305-441-0396
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 351 N.W. 42ND AVE. SUITE 404
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33126-5688
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-856-5733
-----------------------------------------------------
Fax | 305-441-0396
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. JOSE J. ALDRICH
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 305-856-5733
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RR0500X
-----------------------------------------------------
Taxonomy Name | Rheumatology Physician
-----------------------------------------------------
License Number | ME0037778
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------