Provider Demographics
NPI:1588852230
Name:FERNANDEZ VERAS, ALEJANDRO (DO)
Entity type:Individual
Prefix:MR
First Name:ALEJANDRO
Middle Name:
Last Name:FERNANDEZ VERAS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3773 W FLAGLER ST
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-1601
Mailing Address - Country:US
Mailing Address - Phone:305-642-0020
Mailing Address - Fax:305-642-3097
Practice Address - Street 1:3773 W FLAGLER ST
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-1601
Practice Address - Country:US
Practice Address - Phone:305-642-0020
Practice Address - Fax:305-642-3097
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-09
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDO 3133152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist