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DR. ALEX ALEXANDER AGOSTINI-MIRANDA MD NPI 1104815117


NPI Information

NPI: 1104815117
Provider Name: DR. ALEX ALEXANDER AGOSTINI-MIRANDA, MD
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual
Organization: SOUTH MIAMI CRITICARE INC

PECOS Registration: Yes

Address:
9555 SW 162ND AVE
EMERGENCY ROOM
MIAMI, FL
ZIP 33196
Phone: (786) 228-6498
Get Directions

DR. Alex Alexander Agostini-miranda, MD is an emergency medicine in Miami, FL with 23 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. DR. Alex Alexander Agostini-miranda, MD NPI is 1104815117. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE
Graduation Year:2001

The provider's business location address is:

9555 SW 162ND AVE
EMERGENCY ROOM
MIAMI, FL
ZIP 33196-408
Phone: (786) 228-6498
Fax: (888) 435-3753

The NPI 1104815117 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/21/2005 and was last updated on 7/31/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency Medicine43934IOWANo
2207P00000XEmergency MedicineMD.30950ALABAMANo
3207P00000XEmergency MedicineE-7802ARKANSASNo
4207P00000XEmergency MedicineMD0000039280TENNESSEENo
5207P00000XEmergency MedicineME95555FLORIDAYes
6207P00000XEmergency Medicine44351KENTUCKYNo
7207Q00000XFamily Medicine43934IOWANo
8207Q00000XFamily MedicineMD0000039280TENNESSEENo
9207Q00000XFamily MedicineE-7802ARKANSASNo
10207Q00000XFamily Medicine44351KENTUCKYNo
11207Q00000XFamily MedicineMD.30950ALABAMANo
12207Q00000XFamily MedicineME95555FLORIDANo
13207Q00000XFamily Medicine14473PUERTO RICONo
14208D00000XGeneral PracticeME95555FLORIDANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1275224700MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.