Provider Demographics
NPI:1316932247
Name:DANGOND, ALVARO JOSE (MD)
Entity type:Individual
Prefix:DR
First Name:ALVARO
Middle Name:JOSE
Last Name:DANGOND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7001 SW 97TH AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-1407
Mailing Address - Country:US
Mailing Address - Phone:305-595-4478
Mailing Address - Fax:305-595-5027
Practice Address - Street 1:7001 SW 97TH AVE STE 201
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-1410
Practice Address - Country:US
Practice Address - Phone:305-595-4478
Practice Address - Fax:305-595-5027
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-16
Last Update Date:2024-05-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME70900208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL251058800Medicaid
FL251058800Medicaid