MEDICARE: ALBERT CANAS MD AND ASSOCIATES AESTHETICS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	ME63054	FL

General Provider Information

NPI Number	:	1255851036
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALBERT CANAS MD AND ASSOCIATES AESTHETICS

Provider Business Mailing Address
First Line	:	1680 MICHIGAN AVE STE 901
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139-2550
Country	:	US
Telephone Number	:	305-534-0565
Fax Number	:	305-388-7752

Provider Business Practice Location Address
First Line	:	1680 MICHIGAN AVE STE 901
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139-2550
Country	:	US
Telephone Number	:	305-534-0565
Fax Number	:	305-388-7752

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	MR. STEWART STEIN
Credential	:
Telephone Number	:	786-607-1030

Provider Enumeration Date	:	06/22/2017
Last Update Date	:	07/21/2022

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