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NPI Code Detail

MEDICARE: MR. ALEJANDRO FERNANDEZ VERAS D.O.

MEDICARE: MR. ALEJANDRO FERNANDEZ VERAS D.O.
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
1152W00000XOptometristDO 3133FL

General Provider Information

NPI Number : 1588852230
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ALEJANDRO FERNANDEZ VERAS D.O.
Provider Business Mailing Address
First Line : 3773 W FLAGLER ST
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-1601
Country : US
Telephone Number : 305-642-0020
Fax Number : 305-642-3097
Provider Business Practice Location Address
First Line : 3773 W FLAGLER ST
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-1601
Country : US
Telephone Number : 305-642-0020
Fax Number : 305-642-3097
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2007
Last Update Date : 10/09/2007

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