Andres Duarte
Individual provider Active NPI Psychologist · Sweetwater, FL
NPI 1194379537 · NPPES record last updated Sep 25, 2024
Key facts
- NPI
- 1194379537
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- Practice address
- 1414 NW 107TH Ave Ste 301
Sweetwater, FL 33172-2742 - Phone
- (786) 853-1742
- NPI assigned
- Jul 24, 2019
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Yes |
Addresses
Primary practice location
1414 NW 107TH Ave Ste 301
Sweetwater, FL 33172-2742
Mailing address
11937 US Highway 271
Tyler, TX 75708-3154
Other providers in Sweetwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.