NPIMap

Organization Active NPI

Gladys L Andrade MD LLC

  • Preferred Provider Organization
  • Miramar, FL
National Provider Identifier
1477995173
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
305R00000X Issued in FL
Legal business name
GLADYS L ANDRADE MD LLC
Practice address
5036 SW 139TH Ave
Miramar, FL 33027-5953
Phone
(305) 505-0460
NPI assigned
Jul 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Authorized official

Name
Gladys Lizzette Andrade, M.D.NPI 1740545201
Title
Owner
Phone
(305) 505-0460

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 305R00000X FL Primary

Addresses

Primary practice location

5036 SW 139TH Ave
Miramar, FL 33027-5953

Mailing address

5036 SW 139TH Ave
Miramar, FL 33027-5953
Phone (305) 505-0460

National Provider Directory

National Provider Directory

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": "1374537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374537600000",
    "number": "1477995173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5036 SW 139TH AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330275953",
            "telephone_number": "305-505-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5036 SW 139TH AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330275953",
            "telephone_number": "305-505-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLADYS L ANDRADE MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-23",
        "last_updated": "2013-07-23",
        "status": "A",
        "authorized_official_last_name": "ANDRADE",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_middle_name": "LIZZETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-505-0460",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "FL",
            "license": "305R00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; 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.