Provider Demographics
NPI:1366610685
Name:ANTONIO R. PRATS, M.D., P.A.
Entity type:Organization
Organization Name:ANTONIO R. PRATS, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ANTONIO
Authorized Official - Middle Name:R
Authorized Official - Last Name:PRATS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-854-4334
Mailing Address - Street 1:3661 S MIAMI AVE
Mailing Address - Street 2:SUITE 401
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-4236
Mailing Address - Country:US
Mailing Address - Phone:305-854-4334
Mailing Address - Fax:305-854-6966
Practice Address - Street 1:3661 S MIAMI AVE
Practice Address - Street 2:SUITE 401
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-4236
Practice Address - Country:US
Practice Address - Phone:305-854-4334
Practice Address - Fax:305-854-6966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-20
Last Update Date:2009-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0056336207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL035679400Medicaid
FL1639130354OtherINDIVIDUAL NPI
FL035679400Medicaid
FL08778Medicare PIN