Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0210X | Pediatric Nephrologist | 71754 | MA |
Y | 2080P0210X | Pediatric Nephrologist | ME49313 | FL |
NPI | 1922055615 |
---|---|
Provider Name | Ana L Paredes |
First Address | Coral Gables, FL 33146-2423 |
Second Address | South Miami, FL 33143-4829 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/05/2006 |
Last Update Date | 12/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
ME49313 | MEDICAL LICENSE (01) | FL |