Provider Demographics
NPI:1962432302
Name:FERRAS, ALEJANDRO F (MD)
Entity type:Individual
Prefix:
First Name:ALEJANDRO
Middle Name:F
Last Name:FERRAS
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 1:1070 SW 1ST ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33130-1009
Mailing Address - Country:US
Mailing Address - Phone:305-545-0055
Mailing Address - Fax:305-545-0066
Practice Address - Street 1:1070 SW 1ST ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33130-1009
Practice Address - Country:US
Practice Address - Phone:305-545-0055
Practice Address - Fax:305-545-0066
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-03
Last Update Date:2009-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0068117207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL377961100Medicaid
FLG03030Medicare UPIN
FL377961100Medicaid