Provider Demographics
NPI:1992726186
Name:MAIQUEZ, ADONIS (MD)
Entity type:Individual
Prefix:
First Name:ADONIS
Middle Name:
Last Name:MAIQUEZ
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 1:1441 BRICKELL AVE
Mailing Address - Street 2:# 3RD FLOOR SKY LOBBY
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-3439
Mailing Address - Country:US
Mailing Address - Phone:305-624-0009
Mailing Address - Fax:305-373-1175
Practice Address - Street 1:1441 BRICKELL AVE
Practice Address - Street 2:# 3RD FLOOR SKY LOBBY
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33131-3439
Practice Address - Country:US
Practice Address - Phone:305-624-0009
Practice Address - Fax:305-373-1175
Is Sole Proprietor?:No
Enumeration Date:2006-07-22
Last Update Date:2013-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME85520207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE8737BMedicare PIN
FLH81862Medicare UPIN