| Alberto Rando Sous, M.d., P.a. | |
|
12260 Sw 8th St Ste 120 Miami FL 33184-1544 | |
| (305) 912-8540 | |
| (305) 912-8539 |
| Full Name | Alberto Rando Sous, M.d., P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 12260 Sw 8th St Ste 120, Miami, Florida |
| Authorized Official Name and Position | Alberto Ignacio Rando Sous (OWNER) |
| Authorized Official Contact | 3059128540 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alberto Rando Sous, M.d., P.a. Po Box 227682 Miami FL 33222-7682 Ph: (305) 912-8540 | Alberto Rando Sous, M.d., P.a. 12260 Sw 8th St Ste 120 Miami FL 33184-1544 Ph: (305) 912-8540 |
| NPI Number | 1548844863 |
|---|---|
| Provider Enumeration Date | 05/12/2021 |
| Last Update Date | 05/12/2021 |
| Medicare PECOS PAC ID | 5395148498 |
|---|---|
| Medicare Enrollment ID | O20210727003354 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548844863 | NPI | - | NPPES |
| ME147060 | Other | FL | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Alberto I Rando Sous |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326571142 PECOS PAC ID: 1254735731 Enrollment ID: I20210805000562 |
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