MEDICARE: ADIANEZ ALBELO MD

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	207Q00000X	Family Medicine Physician	036132443	IL
2	207Q00000X	Family Medicine Physician	ME143982	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811336118
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADIANEZ ALBELO MD

Provider Business Mailing Address
First Line	:	6100 BLUE LAGOON DR STE 400
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-2080
Country	:	US
Telephone Number	:	305-398-6100
Fax Number	:	305-757-2387

Provider Business Practice Location Address
First Line	:	3733 W FLAGLER ST
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-1601
Country	:	US
Telephone Number	:	305-774-3400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/19/2013
Last Update Date	:	03/18/2020

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