Gladys Lizzette Andrade, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME134772 Issued in FL

Practice address

3500 Hollywood Blvd
Hollywood, FL 33021-6809

Phone

(754) 231-0164

Fax

(754) 225-1616

NPI assigned

Jul 11, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Coverall Medical Center Corp

  • Clinic/Center
  • Miami Springs, FL
  • NPI 1427484112
  Medicare reassignment NPD Authorized official
• Centers of Medical Excellence, LLC

  • General Practice Physician
  • Hialeah, FL
  • NPI 1073196986
  Medicare reassignment NPD
• Gladys L Andrade MD LLC

  • Preferred Provider Organization
  • Miramar, FL
  • NPI 1477995173
  NPD (past) Authorized official

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1740545201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 HOOK SQ",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331664401",
            "telephone_number": "305-884-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 HOLLYWOOD BLVD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216809",
            "telephone_number": "754-231-0164",
            "fax_number": "754-225-1616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "61 Hook Sq",
            "address_purpose": "LOCATION",
            "city": "Miami Springs",
            "state": "FL",
            "postal_code": "331664401",
            "country_code": "US",
            "telephone_number": "305-884-8880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDRADE",
        "first_name": "GLADYS",
        "middle_name": "LIZZETTE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-11",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN463",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18486",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME134772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Ann Anderson, M.D.
• Susan Sylvi Anderson, MSOTR/L
• Fausto Andrade Rodriguez, M.D.
• Brian Andrade, RRT
• Denise Andrade, PA
• Gladys Andre, LCSW
• Gretter Beatriz Andreu, BACB983787
• Tonie Joanne Andrews
• Jessica Androwski
• Anesco Anesthesia Associates Inc

• General Practice Physician in Hollywood, FL
• Providers in Hollywood, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.