Provider Demographics
NPI:1487692711
Name:ALBERTI FLOR, JUAN J (MD)
Entity type:Individual
Prefix:DR
First Name:JUAN
Middle Name:J
Last Name:ALBERTI FLOR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:351 NW 42ND AVE STE 307
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-5687
Mailing Address - Country:US
Mailing Address - Phone:305-446-2626
Mailing Address - Fax:
Practice Address - Street 1:351 NW 42ND AVE STE 307
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126
Practice Address - Country:US
Practice Address - Phone:305-446-2626
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-02
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME38852207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL040929400Medicaid
FLME38852OtherMEDICAL LICENSE
FLME38852OtherMEDICAL LICENSE
FL650450142OtherTAX ID NUMBER
FLAA1272070OtherDEA
FLE19733Medicare UPIN