Organization Active NPI

Agustine a Andrade MD PA

  • Specialist
  • Miami Beach, FL
National Provider Identifier
1093725335
Registry record updated Nov 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
AGUSTINE A ANDRADE MD PA
Practice address
4308 Alton Rd
Suite 310
Miami Beach, FL 33140-4556
Phone
(305) 672-7560
Fax
(305) 672-7936
NPI assigned
Aug 9, 2006
Last updated
Nov 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Agustin Andrade, MDNPI 1104869064
Title
Head Physician
Phone
(305) 672-7560

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

4308 Alton Rd
Suite 310
Miami Beach, FL 33140-4556

Mailing address

4308 Alton Rd
Suite 310
Miami Beach, FL 33140-4556
Phone (305) 672-7560

Other identifiers 2

IdentifierTypeStateIssuer
27328OtherFLBLUE CROSS BLUE SHIELD
DD4618OtherFLRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

4308 Alton Rd
Ste 310
Miami Beach, FL 33140
Phone (305) 672-7560

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352764800000",
    "number": "1093725335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4308 ALTON RD",
            "address_2": "SUITE 310",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331404556",
            "telephone_number": "305-672-7560",
            "fax_number": "305-672-7936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4308 ALTON RD",
            "address_2": "SUITE 310",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331404556",
            "telephone_number": "305-672-7560",
            "fax_number": "305-672-7936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGUSTINE A ANDRADE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2012-11-13",
        "status": "A",
        "authorized_official_last_name": "ANDRADE",
        "authorized_official_first_name": "AGUSTIN",
        "authorized_official_title_or_position": "HEAD PHYSICIAN",
        "authorized_official_telephone_number": "305-672-7560",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "27328",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD4618",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.