Basic Information
| Provider Information | |||||||||
| NPI: | 1811159650 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MIQUEL | ||||||||
| FirstName: | ALEJANDRO | ||||||||
| MiddleName: | LUIS | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5827 CORPORATE WAY | ||||||||
| Address2: | |||||||||
| City: | WEST PALM BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 334072000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5618449443 | ||||||||
| FaxNumber: | 5614729692 | ||||||||
| Practice Location | |||||||||
| Address1: | 170 S BARFIELD HWY | ||||||||
| Address2: | |||||||||
| City: | PAHOKEE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 334761868 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5619246100 | ||||||||
| FaxNumber: | 8445430393 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/01/2008 | ||||||||
| LastUpdateDate: | 03/18/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | BP10030674 | TX | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | ME 112012 | FL | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.