Active NPI
Agustine a Andrade MD PA
- Specialist
- Miami Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- 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, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Agustin Andrade, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27328 | Other | FL | BLUE CROSS BLUE SHIELD |
| DD4618 | Other | FL | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Specialist
- Miami Beach, FL
- NPI 1104869064
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.