Granados, Andrea

Granados, Andrea is an individual health care provider with primary practice located at 3100 Sw 62Nd Ave , Miami FL 33155-3009. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Endocrinology. Allopathic & Osteopathic Physicians / Pediatric Endocrinology is her primary health care specialty. Granados, Andrea can be contacted via phone (305) 666-6511.

Contact Information

Primary practice address
3100 Sw 62Nd Ave Miami FL 33155-3009
Phone: (305) 666-6511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2015013313 Missouri
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 2015013313 Missouri
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X ME150153 Florida

Profile Details

NPI number 1073830204
LBN Legal business name Granados, Andrea
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2010
Last updated Apr 29th, 2021 - about 5 years ago

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 1073830204 NPPES
Illinois MEDICAID ENROLLED

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