Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 01054551A | IN |
N | 204F00000X | Transplant Surgeon | 35090 | AL |
Y | 204F00000X | Transplant Surgeon | ME141696 | FL |
NPI | 1508815002 |
---|---|
Provider Name | Alfred Joseph Tector |
First Address | Miami, FL 33136-1101 |
Second Address | Miami, FL 33136-1101 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2006 |
Last Update Date | 23/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200334980A | (05) | IN |
H42923 | (02) | IN |