Provider Demographics
NPI:1871884817
Name:BERANGER, ALEXANDRIA GERALDINE (MD)
Entity type:Individual
Prefix:DR
First Name:ALEXANDRIA
Middle Name:GERALDINE
Last Name:BERANGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1395 NW 167TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33169-5710
Mailing Address - Country:US
Mailing Address - Phone:305-831-4736
Mailing Address - Fax:058-314-7363
Practice Address - Street 1:8529 PINES BLVD
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-6611
Practice Address - Country:US
Practice Address - Phone:954-704-3300
Practice Address - Fax:954-302-8612
Is Sole Proprietor?:No
Enumeration Date:2011-04-25
Last Update Date:2019-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.208064207R00000X
FL390200000X
FLME120652207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program