Provider Demographics
NPI:1134801657
Name:MERINO ALAIMO, ANDREINA
Entity type:Individual
Prefix:
First Name:ANDREINA
Middle Name:
Last Name:MERINO ALAIMO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 LAGUNA CIR APT 1401
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33181-1172
Mailing Address - Country:US
Mailing Address - Phone:786-609-3515
Mailing Address - Fax:786-609-3515
Practice Address - Street 1:2999 NE 191ST ST STE 804
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-3387
Practice Address - Country:US
Practice Address - Phone:786-609-3515
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-03
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN283421223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice