Provider Demographics
NPI:1447695895
Name:ALBERTO J BEGUIRISTAIN JR MD PA
Entity type:Organization
Organization Name:ALBERTO J BEGUIRISTAIN JR MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:BEGUIRISTAIN
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:305-661-5001
Mailing Address - Street 1:6101 SW 72ND AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-1864
Mailing Address - Country:US
Mailing Address - Phone:305-661-5001
Mailing Address - Fax:305-661-1455
Practice Address - Street 1:6101 SW 72ND AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-1864
Practice Address - Country:US
Practice Address - Phone:305-661-5001
Practice Address - Fax:305-661-1455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-29
Last Update Date:2013-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHSE128208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty