Andrade Ortiz, Werner Alfredo

Andrade Ortiz, Werner Alfredo is an sole proprietor health care provider with primary practice located at 2801 Nw 79Th Ave Ste 407 , Doral FL 33122-1174. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Andrade Ortiz, Werner Alfredo can be contacted via phone (786) 320-5022.

Contact Information

Primary practice address
2801 Nw 79Th Ave Ste 407 Doral FL 33122-1174
Phone: (786) 320-5022
Fax: (786) 320-5088
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME117468 Florida

Profile Details

NPI number 1366616484
LBN Legal business name Andrade Ortiz, Werner Alfredo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2008
Last updated Jan 24th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366616484 NPPES
Arizona Other Z138906 PTAN
Arizona MEDICAID 009665200 PTAN
Arizona MEDICAID 539106 PTAN

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